CLARENCE E FORMAN
Nursing Home Administrators - Nursing Home Administrator
Iowa 00382 Inactive
This Iowa license was held by CLARENCE E FORMAN. The license is no longer active. It was granted on 01/01/1972 and expired on 12/31/1997
LICENSE DETAILS
- License Number: 00382
- Category: Nursing Home Administrator
- Status: Inactive
- Date Granted: 01/01/1972 (over 53 years ago)
- Expiry Date: 12/31/1997 (over 27 years ago)
LOCATIONS
A Address
COUNTY NURSING HOME DUBUQUE IA 52001