KENNETH R SLAVENS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010779

License Status

INACTIVE

Business

First Name

KENNETH

Middle

Last Name

SLAVENS

Business Name

KENNETH R SLAVENS

Original Issue Date

10/24/2011

Effective Date

09/18/2017

Expiration Date

11/30/2019

City

ELLIS GROVE

State

Zip

62241

County

RANDOLPH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/04/2019