ANGELA F BIRDSALL Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002950

License Status

CANCELLED

Business

First Name

ANGELA

Middle

Last Name

BIRDSALL

Business Name

ANGELA F BIRDSALL

Original Issue Date

05/29/2003

Effective Date

06/02/2004

Expiration Date

05/29/2004

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

05/31/2005