GERALDINE P POTTER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001705

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

Last Name

POTTER

Business Name

GERALDINE P POTTER

Original Issue Date

01/17/1989

Expiration Date

07/03/1990

City

ST LOUIS

State

Zip

63133

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/31/2005