SUSAN K SOUTH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002032

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

SOUTH

Business Name

SUSAN K SOUTH

Original Issue Date

09/24/1991

Expiration Date

09/24/1992

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/31/2005