DOUGLAS S DAUDELIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002731

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

DAUDELIN

Business Name

DOUGLAS S DAUDELIN

Original Issue Date

11/01/2000

Effective Date

10/25/2001

Expiration Date

10/02/2001

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/31/2005