HAROLD R MORRIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003053

License Status

NOT RENEWED

Business

First Name

HAROLD R

Last Name

MORRIS

Business Name

HAROLD R MORRIS

Original Issue Date

11/17/2004

Effective Date

11/17/2004

Expiration Date

11/17/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005