THOMAS G ANSELM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001841

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ANSELM

Business Name

THOMAS G ANSELM

Original Issue Date

01/25/1990

Expiration Date

01/19/1991

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005