DONNA JEAN CARLSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001439

License Status

INACTIVE

Business

First Name

DONNA JEAN

Last Name

CARLSON

Business Name

DONNA JEAN CARLSON

Original Issue Date

07/20/1976

Effective Date

10/31/2003

Expiration Date

11/30/2003

City

DONOVAN

State

Zip

60931

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/11/2005