RICHARD W KIRBY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002724

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

KIRBY

Business Name

RICHARD W KIRBY

Original Issue Date

10/20/2000

Effective Date

12/03/2002

Expiration Date

09/01/2002

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005