DAVID O EVERSOLE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001748

License Status

NOT RENEWED

Business

First Name

DAVID O

Last Name

EVERSOLE

Business Name

DAVID O EVERSOLE

Original Issue Date

05/12/1989

Expiration Date

05/12/1990

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/31/2005