THOMAS J LARSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001637

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

LARSON

Business Name

THOMAS J LARSON

Original Issue Date

07/25/1988

Expiration Date

07/22/1989

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005