CAROLYN MARIE MARTIN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004037

License Status

CANCELLED

Business

First Name

CAROLYN

Middle

MARIE

Last Name

MARTIN

Business Name

CAROLYN MARIE MARTIN

Original Issue Date

08/01/2017

Effective Date

08/02/2018

Expiration Date

08/01/2019

City

ENFIELD

State

Zip

06082

Ever Disciplined

LastModifiedDate

08/01/2017