THERESA S GOWIN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002923

License Status

CANCELLED

Business

First Name

THERESA

Middle

Last Name

GOWIN

Business Name

THERESA S GOWIN

Original Issue Date

01/30/2003

Effective Date

05/28/2004

Expiration Date

01/30/2004

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/31/2005