MARK J BREWSTER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010845

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

BREWSTER

Business Name

MARK J BREWSTER

Original Issue Date

04/30/2012

Effective Date

09/10/2013

Expiration Date

11/30/2015

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/04/2015