MARCIA IRENE BAXLEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001425

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

IRENE

Last Name

BAXLEY

Business Name

MARCIA IRENE BAXLEY

Original Issue Date

09/02/1986

Expiration Date

07/22/1987

City

ENFIELD

State

Zip

62835

County

WHITE

Ever Disciplined

LastModifiedDate

05/31/2005