BENJAMIN J WELLS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003891

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

WELLS

Business Name

BENJAMIN J WELLS

Original Issue Date

10/15/2015

Effective Date

10/15/2015

Expiration Date

10/15/2016

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/09/2017