TERESA D CLARK DAVIDSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003444

License Status

INACTIVE

Business

First Name

TERESA D

Last Name

CLARK DAVIDSON

Business Name

TERESA D CLARK DAVIDSON

Original Issue Date

09/28/2009

Effective Date

09/18/2009

Expiration Date

09/18/2010

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

09/28/2009