ERIC WALSTON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002568

License Status

NOT RENEWED

Business

First Name

ERIC

Last Name

WALSTON

Business Name

ERIC WALSTON

Original Issue Date

07/22/1986

Expiration Date

07/01/1987

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005