TROY G METHENEY III Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002920

License Status

CANCELLED

Business

First Name

TROY

Middle

Last Name

METHENEY III

Business Name

TROY G METHENEY III

Original Issue Date

01/13/2003

Effective Date

05/28/2004

Expiration Date

01/13/2004

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005