SAMUEL E BALL Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002853

License Status

CANCELLED

Business

First Name

SAMUEL

Middle

Last Name

BALL

Business Name

SAMUEL E BALL

Original Issue Date

03/22/2002

Effective Date

05/28/2004

Expiration Date

01/28/2003

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/31/2005