REGINA L PENROD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002262

License Status

NOT RENEWED

Business

First Name

REGINA L

Last Name

PENROD

Business Name

REGINA L PENROD

Original Issue Date

09/07/1994

Expiration Date

08/05/1995

City

PONTOON BEACH

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005