RONELL G STOVALL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002736

License Status

NOT RENEWED

Business

First Name

RONELL

Middle

Last Name

STOVALL

Business Name

RONELL G STOVALL

Original Issue Date

12/13/2000

Effective Date

06/13/2002

Expiration Date

11/13/2001

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2005