RICHARD J CLARK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001243

License Status

INACTIVE

Business

First Name

RICHARD J

Last Name

CLARK

Business Name

RICHARD J CLARK

Original Issue Date

03/07/1975

Expiration Date

11/30/1985

City

LIMA

State

Zip

45805

County

OHIO

Ever Disciplined

LastModifiedDate

05/27/2005