ROBERT E EGILSRUD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003264

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

EGILSRUD

Business Name

ROBERT E EGILSRUD

Original Issue Date

06/29/2007

Effective Date

06/29/2007

Expiration Date

06/29/2008

City

COULTERVILLE

State

Zip

62237

County

RANDOLPH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

04/08/2009