RANDALL S ALSUP Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011767

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

ALSUP

Business Name

RANDALL S ALSUP

Original Issue Date

06/18/2020

Effective Date

06/18/2020

Expiration Date

02/28/2022

City

GALENA

State

Zip

66739

Ever Disciplined

LastModifiedDate

07/27/2022