MARY ELLEN HEART Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001393

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

HEART

Business Name

MARY ELLEN HEART

Original Issue Date

12/31/1975

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005