MARY E MAYFIELD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001570

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

MAYFIELD

Business Name

MARY E MAYFIELD

Original Issue Date

12/19/1987

Expiration Date

12/17/1988

City

CHAMPAING

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/31/2005