BOBBY L FORD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002138

License Status

NOT RENEWED

Business

First Name

BOBBY

Middle

Last Name

FORD

Business Name

BOBBY L FORD

Original Issue Date

12/30/1992

Expiration Date

02/24/1994

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005