KIM G HAAS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001880

License Status

NOT RENEWED

Business

First Name

KIM G

Last Name

HAAS

Business Name

KIM G HAAS

Original Issue Date

05/31/1990

Expiration Date

06/05/1991

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/31/2005