ANGELA D MARTIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010785

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

MARTIN

Business Name

ANGELA D MARTIN

Original Issue Date

11/03/2011

Effective Date

09/09/2013

Expiration Date

11/30/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

04/23/2018