THEODORE IVAN MARCUS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003716

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

IVAN

Last Name

MARCUS

Business Name

THEODORE IVAN MARCUS

Original Issue Date

04/11/2013

Effective Date

04/11/2014

Expiration Date

04/11/2015

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

01/07/2016