BENJAMIN A PRINCE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002765

License Status

NOT RENEWED

Business

First Name

BENJAMIN A

Last Name

PRINCE

Business Name

BENJAMIN A PRINCE

Original Issue Date

07/07/1983

Effective Date

11/22/2017

Expiration Date

11/30/2019

City

OCONTO

State

Zip

54153

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/23/2020