PATRICE M GREGORY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002773

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

GREGORY

Business Name

PATRICE M GREGORY

Original Issue Date

04/10/2001

Effective Date

06/13/2002

Expiration Date

03/12/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005