CRAVEN GLENN FORD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003583

License Status

EXPIRED

Business

First Name

CRAVEN

Middle

GLENN

Last Name

FORD

Business Name

CRAVEN GLENN FORD

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

07/06/2012

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/04/2018