REX B MCCOY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002981

License Status

NOT RENEWED

Business

First Name

REX

Middle

Last Name

MCCOY

Business Name

REX B MCCOY

Original Issue Date

11/13/2003

Effective Date

11/18/2004

Expiration Date

11/13/2004

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/31/2005