CHARLES T PULLEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010895

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

PULLEN

Business Name

CHARLES T PULLEN

Original Issue Date

08/07/2012

Effective Date

11/05/2015

Expiration Date

11/30/2017

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018