KIMBERLY KELLER MABBITT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002360

License Status

NOT RENEWED

Business

First Name

KIMBERLY KELLER

Last Name

MABBITT

Business Name

KIMBERLY KELLER MABBITT

Original Issue Date

05/29/1981

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SHELDON

State

Zip

60966

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/11/2005