MICHAEL A CROSSIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002133

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CROSSIN

Business Name

MICHAEL A CROSSIN

Original Issue Date

12/09/1992

Expiration Date

01/01/1998

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2005