MARK A WARREN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003292

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

WARREN

Business Name

MARK A WARREN

Original Issue Date

10/17/2007

Effective Date

10/17/2007

Expiration Date

10/17/2008

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018