RICK M EUGENE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003456

License Status

EXPIRED

Business

First Name

RICK

Middle

Last Name

EUGENE

Business Name

RICK M EUGENE

Original Issue Date

12/09/2009

Effective Date

12/09/2009

Expiration Date

12/09/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018