STACY M NIES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003377

License Status

NOT RENEWED

Business

First Name

STACY M

Last Name

NIES

Business Name

STACY M NIES

Original Issue Date

05/15/1987

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

MT VERNON

State

Zip

62864

County

MARION

Ever Disciplined

LastModifiedDate

10/11/2005