MICHAEL L BRADFORD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002827

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BRADFORD

Business Name

MICHAEL L BRADFORD

Original Issue Date

11/09/2001

Effective Date

04/08/2002

Expiration Date

09/22/2002

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/31/2005