GALE A ERWIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002606

License Status

NOT RENEWED

Business

First Name

GALE

Middle

Last Name

ERWIN

Business Name

GALE A ERWIN

Original Issue Date

03/24/1999

Effective Date

01/05/2001

Expiration Date

03/24/2000

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005