KENNETH L CANNON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001784

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

CANNON

Business Name

KENNETH L CANNON

Original Issue Date

08/21/1989

Expiration Date

10/26/1990

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

05/31/2005