ARDIS I HENERFAUTH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002525

License Status

NOT RENEWED

Business

First Name

ARDIS

Middle

Last Name

HENERFAUTH

Business Name

ARDIS I HENERFAUTH

Original Issue Date

02/05/1998

Expiration Date

01/17/1999

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/31/2005