CLAYTON M LORENZEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001888

License Status

NOT RENEWED

Business

First Name

CLAYTON

Middle

Last Name

LORENZEN

Business Name

CLAYTON M LORENZEN

Original Issue Date

06/26/1990

Expiration Date

04/06/1991

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/31/2005