CRAVEN GLENN FORD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010823

License Status

NOT RENEWED

Business

First Name

CRAVEN

Middle

GLENN

Last Name

FORD

Business Name

CRAVEN GLENN FORD

Original Issue Date

02/03/2012

Effective Date

09/10/2013

Expiration Date

11/30/2015

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/08/2016