LARRY D CARLSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002034

License Status

NOT RENEWED

Business

First Name

LARRY D

Last Name

CARLSON

Business Name

LARRY D CARLSON

Original Issue Date

05/30/1979

Expiration Date

11/30/1991

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

05/27/2005