MAHLON R DAVID Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001525

License Status

NOT RENEWED

Business

First Name

MAHLON R

Last Name

DAVID

Business Name

MAHLON R DAVID

Original Issue Date

08/22/1987

Expiration Date

08/21/1988

City

ABINGDON

State

Zip

61410

County

KNOX

Ever Disciplined

LastModifiedDate

05/31/2005