JOE C WATERS SR Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003121

License Status

EXPIRED

Business

First Name

JOE

Middle

Last Name

WATERS

Suffix

Business Name

JOE C WATERS SR

Original Issue Date

01/30/2006

Effective Date

01/30/2006

Expiration Date

01/30/2007

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018