GREGORY ALAN MOORE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003018

License Status

EXPIRED

Business

First Name

GREGORY

Middle

ALAN

Last Name

MOORE

Business Name

GREGORY ALAN MOORE

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

05/21/2005

City

ZEIGLER

State

Zip

62999

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/04/2018