CAROL A DAVIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003010

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

DAVIS

Business Name

CAROL A DAVIS

Original Issue Date

03/16/2004

Effective Date

05/02/2005

Expiration Date

03/16/2005

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

05/31/2005