DANA JOYCE LARSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003927

License Status

EXPIRED

Business

First Name

DANA

Middle

JOYCE

Last Name

LARSON

Business Name

DANA JOYCE LARSON

Original Issue Date

04/07/2016

Effective Date

04/07/2016

Expiration Date

04/07/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2018