DAVID R HAM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001786

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

HAM

Business Name

DAVID R HAM

Original Issue Date

08/22/1989

Expiration Date

01/01/1998

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005