DOUGLAS V HARRIDGE Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002720

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

Last Name

HARRIDGE

Business Name

DOUGLAS V HARRIDGE

Original Issue Date

10/06/2000

Effective Date

07/25/2001

Expiration Date

07/10/2002

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

05/31/2005