MARY LOU RECORD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001578

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

RECORD

Business Name

MARY LOU RECORD

Original Issue Date

01/11/1988

Expiration Date

01/11/1989

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

05/31/2005