STACY L ADAMS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004052

License Status

INACTIVE

Business

First Name

STACY L

Last Name

ADAMS

Business Name

STACY L ADAMS

Original Issue Date

01/25/1991

Effective Date

09/26/2001

Expiration Date

11/30/2001

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/11/2005