KENNETH R SLAVENS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003548

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

SLAVENS

Business Name

KENNETH R SLAVENS

Original Issue Date

01/03/2011

Effective Date

01/03/2011

Expiration Date

01/03/2012

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/04/2018