THOMAS R MOEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005666

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

MOEN

Business Name

THOMAS R MOEN

Original Issue Date

08/30/1999

Effective Date

10/17/2013

Expiration Date

11/30/2015

City

FRANKLIN

State

Zip

37064

County

TENNESSEE

Ever Disciplined

LastModifiedDate

01/08/2016