ANITA JANE COLLINS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002412

License Status

NOT RENEWED

Business

First Name

ANITA JANE

Last Name

COLLINS

Business Name

ANITA JANE COLLINS

Original Issue Date

09/11/1996

Expiration Date

01/14/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005