EUNICE H GIBSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003398

License Status

EXPIRED

Business

First Name

EUNICE

Middle

Last Name

GIBSON

Business Name

EUNICE H GIBSON

Original Issue Date

03/11/2009

Effective Date

03/11/2009

Expiration Date

03/11/2010

City

WOOD RIVER

State

Zip

62095

County

MADISON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018