NANCY G CLARK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001496

License Status

NOT RENEWED

Business

First Name

NANCY G

Last Name

CLARK

Business Name

NANCY G CLARK

Original Issue Date

05/19/1987

Expiration Date

05/18/1988

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005