DENNIS B GAUDREAULT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002709

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

GAUDREAULT

Business Name

DENNIS B GAUDREAULT

Original Issue Date

07/27/2000

Effective Date

10/25/2001

Expiration Date

06/16/2001

City

ALHAMBRA

State

Zip

62001

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005