JEREMY R MAUPIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002388

License Status

NOT RENEWED

Business

First Name

JEREMY R

Last Name

MAUPIN

Business Name

JEREMY R MAUPIN

Original Issue Date

06/27/1996

Expiration Date

06/26/1997

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/31/2005