NANCY S DAVIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002588

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

DAVIS

Business Name

NANCY S DAVIS

Original Issue Date

01/06/1999

Effective Date

02/04/2000

Expiration Date

01/06/2000

City

ELMWOOD

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005