JAMIE S EVANS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002172

License Status

NOT RENEWED

Business

First Name

JAMIE S

Last Name

EVANS

Business Name

JAMIE S EVANS

Original Issue Date

06/22/1993

Expiration Date

07/01/1994

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/31/2005