MARY E DEVRIES Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003867

License Status

CANCELLED

Business

First Name

MARY

Middle

Last Name

DEVRIES

Business Name

MARY E DEVRIES

Original Issue Date

08/11/2015

Effective Date

08/11/2015

Expiration Date

08/11/2016

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/23/2015