LAURIE A DECKARD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010508

License Status

INACTIVE

Business

First Name

LAURIE

Middle

Last Name

DECKARD

Business Name

LAURIE A DECKARD

Original Issue Date

09/14/2009

Effective Date

12/02/2011

Expiration Date

11/30/2013

City

ORMOND BEACH

State

Zip

32174

County

SOUTH CAROLINA

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/05/2013