KELLY D MARTIN - Nursing Home Administrator License in Missouri | # 044005625

KELLY D MARTIN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005625

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

D

Last Name

MARTIN

Business Name

KELLY D MARTIN

Original Issue Date

03/19/1999

Effective Date

01/14/2004

Expiration Date

11/30/2003

State

MO

Ever Disciplined

N

LastModifiedDate

10/11/2005