SUSAN M BERRIE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004180

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

BERRIE

Business Name

SUSAN M BERRIE

Original Issue Date

04/30/2019

Effective Date

04/30/2019

Expiration Date

04/30/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/19/2020