MARCIA J FORD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010562

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

Last Name

FORD

Business Name

MARCIA J FORD

Original Issue Date

02/10/2010

Effective Date

09/14/2017

Expiration Date

11/30/2019

City

GREENFIELD

State

Zip

62044

County

GREENE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020