DAVID R EVOY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001631

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

EVOY

Business Name

DAVID R EVOY

Original Issue Date

07/13/1988

Expiration Date

06/29/1989

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005