KELLY M STACEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003652

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

STACEY

Business Name

KELLY M STACEY

Original Issue Date

05/16/1989

Expiration Date

11/30/1999

City

JOHNSTON CITY

State

Zip

62951

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/27/2005