TERESA D CLARK DAVIDSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010547

License Status

NOT RENEWED

Business

First Name

TERESA D

Last Name

CLARK DAVIDSON

Business Name

TERESA D CLARK DAVIDSON

Original Issue Date

01/26/2010

Effective Date

11/24/2021

Expiration Date

11/30/2023

City

KELL

State

Zip

62853

County

MARION

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

04/16/2024