ROBERT P MASSA Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002858

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

MASSA

Business Name

ROBERT P MASSA

Original Issue Date

04/19/2002

Effective Date

05/28/2004

Expiration Date

04/19/2003

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005