ETHEL M FORMAN
Nursing Home Administrators - Nursing Home Administrator
Iowa 00105 Inactive
This Iowa license was held by ETHEL M FORMAN. The license is no longer active. It was granted on 07/01/1971 and expired on 12/31/1997
LICENSE DETAILS
- License Number: 00105
- Category: Nursing Home Administrator
- Status: Inactive
- Date Granted: 07/01/1971 (almost 54 years ago)
- Expiry Date: 12/31/1997 (over 27 years ago)
LOCATIONS
A Address
COUNTY NRSG HOME DUBUQUE IA 52001