SCOTT LESLIE SWANSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001379

License Status

NOT RENEWED

Business

First Name

SCOTT LESLIE

Last Name

SWANSON

Business Name

SCOTT LESLIE SWANSON

Original Issue Date

02/03/1986

Expiration Date

02/03/1987

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005