KATHY WOODWORTH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001432

License Status

NOT RENEWED

Business

First Name

KATHY

Last Name

WOODWORTH

Business Name

KATHY WOODWORTH

Original Issue Date

09/24/1986

Expiration Date

08/01/1987

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/31/2005