RANDALL L BAUER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002883

License Status

EXPIRED

Business

First Name

RANDALL

Middle

Last Name

BAUER

Business Name

RANDALL L BAUER

Original Issue Date

07/24/2002

Effective Date

09/23/2004

Expiration Date

07/24/2004

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2018