LARRY E SERVEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002655

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

SERVEN

Business Name

LARRY E SERVEN

Original Issue Date

11/12/1999

Effective Date

01/05/2001

Expiration Date

10/20/2000

City

PRAIRIE CITY

State

Zip

61470

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/31/2005