MARLA Y FOUREZ Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010790

License Status

NOT RENEWED

Business

First Name

MARLA

Middle

Last Name

FOUREZ

Business Name

MARLA Y FOUREZ

Original Issue Date

11/09/2011

Effective Date

10/15/2013

Expiration Date

11/30/2015

City

MULKEYTOWN

State

Zip

62865

County

FRANKLIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/08/2016