WILLIAM C GRAHN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002743

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

GRAHN

Business Name

WILLIAM C GRAHN

Original Issue Date

12/29/2000

Effective Date

06/13/2002

Expiration Date

12/01/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005