BARBARA A RANDOLPH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002378

License Status

NOT RENEWED

Business

First Name

BARBARA A

Last Name

RANDOLPH

Business Name

BARBARA A RANDOLPH

Original Issue Date

04/11/1996

Expiration Date

04/08/1997

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/31/2005