License holder summary

CLARENCE E FORMAN is a Nursing Home Administrators - Nursing Home Administrator licensed to practice in Iowa. The address on file for CLARENCE E FORMAN is COUNTY NURSING HOME DUBUQUE IA 52001. This licensed professional license is not current. The license was granted 01/01/1972 and expired on 12/31/1997.

Iowa

Professional Licensing Bureau

CLARENCE E FORMAN
Nursing Home Administrators - Nursing Home Administrator
License number
00382
Date granted
01/01/1972
Date expires
12/31/1997
Class
Nursing Home Administrators - Nursing Home Administrator
Status
Inactive
Address
COUNTY NURSING HOME DUBUQUE IA 52001
iowalicenses.org
ID 24157104
LAST UPDATED 2024-02-09 12:52:44 UTC

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