SR G DU ST ROSAI BRADLEY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000811

License Status

INACTIVE

Business

First Name

SR G DU ST ROSAI

Last Name

BRADLEY

Business Name

SR G DU ST ROSAI BRADLEY

Original Issue Date

06/24/1972

Effective Date

01/08/2004

Expiration Date

11/30/2003

City

QUEENS VILLAGE

State

Zip

11429

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/11/2005