ANTHONY DALE GREENE Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004242

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

DALE

Last Name

GREENE

Business Name

ANTHONY DALE GREENE

Original Issue Date

02/18/2020

Effective Date

02/18/2020

Expiration Date

02/18/2021

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

02/18/2020