MICHAEL J RANGE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002797

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

RANGE

Business Name

MICHAEL J RANGE

Original Issue Date

07/25/2001

Effective Date

12/03/2002

Expiration Date

07/12/2002

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005