ROXANE GOAD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003012

License Status

INACTIVE

Business

First Name

ROXANE

Last Name

GOAD

Business Name

ROXANE GOAD

Original Issue Date

04/11/1985

Effective Date

11/04/2003

Expiration Date

11/30/2003

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/11/2005