SR AUGUSTINE PAUL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001931

License Status

NOT RENEWED

Business

First Name

SR AUGUSTINE

Last Name

PAUL

Prefix

Business Name

SR AUGUSTINE PAUL

Original Issue Date

06/22/1978

Effective Date

09/11/2013

Expiration Date

11/30/2015

City

OREGON

State

Zip

43616

County

OHIO

Ever Disciplined

LastModifiedDate

01/08/2016