CANDY L MOORE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002719

License Status

NOT RENEWED

Business

First Name

CANDY

Middle

Last Name

MOORE

Business Name

CANDY L MOORE

Original Issue Date

09/28/2000

Effective Date

10/25/2001

Expiration Date

09/13/2001

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/31/2005