BRADLEY S BARNES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002690

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

BARNES

Business Name

BRADLEY S BARNES

Original Issue Date

05/04/2000

Effective Date

06/13/2002

Expiration Date

02/05/2002

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/11/2005