BRIAN W ANDERSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003742

License Status

CANCELLED

Business

First Name

BRIAN

Middle

Last Name

ANDERSON

Business Name

BRIAN W ANDERSON

Original Issue Date

08/30/2013

Effective Date

08/30/2013

Expiration Date

08/30/2014

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/13/2015