LESLIE SUZANNE HOGSHEAD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002629

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

SUZANNE

Last Name

HOGSHEAD

Business Name

LESLIE SUZANNE HOGSHEAD

Original Issue Date

07/22/1999

Effective Date

01/05/2001

Expiration Date

07/22/2000

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/31/2005