SANDRA LEE PAYNE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002366

License Status

NOT RENEWED

Business

First Name

SANDRA LEE

Last Name

PAYNE

Business Name

SANDRA LEE PAYNE

Original Issue Date

05/29/1981

Effective Date

10/17/2003

Expiration Date

11/30/2005

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2006