RALPH D REAVES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001902

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

REAVES

Business Name

RALPH D REAVES

Original Issue Date

07/25/1990

Expiration Date

07/25/1991

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/31/2005