License holder summary

ETHEL M FORMAN is a Nursing Home Administrators - Nursing Home Administrator licensed to practice in Iowa. The address on file for ETHEL M FORMAN is COUNTY NRSG HOME DUBUQUE IA 52001. This licensed professional license is not current. The license was granted 07/01/1971 and expired on 12/31/1997.

Iowa

Professional Licensing Bureau

ETHEL M FORMAN
Nursing Home Administrators - Nursing Home Administrator
License number
00105
Date granted
07/01/1971
Date expires
12/31/1997
Class
Nursing Home Administrators - Nursing Home Administrator
Status
Inactive
Address
COUNTY NRSG HOME DUBUQUE IA 52001
iowalicenses.org
ID 24158071
LAST UPDATED 2024-04-20 17:44:08 UTC

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