SR GONZAGUE CASTRO Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001507

License Status

INACTIVE

Business

First Name

SR GONZAGUE

Last Name

CASTRO

Business Name

SR GONZAGUE CASTRO

Original Issue Date

07/20/1976

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

GALLUP

State

Zip

87301

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/07/2011