THOMAS D DEFAUW Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005974

License Status

INACTIVE

Business

First Name

THOMAS

Middle

Last Name

DEFAUW

Business Name

THOMAS D DEFAUW

Original Issue Date

08/23/2001

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ALMA

State

Zip

48801

Ever Disciplined

LastModifiedDate

09/05/2007