MICHAEL J DAVIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002050

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

DAVIS

Business Name

MICHAEL J DAVIS

Original Issue Date

12/11/1991

Expiration Date

12/10/1992

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/31/2005