DONNA R HOLCOMB Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004221

License Status

NOT RENEWED

Business

First Name

DONNA R

Last Name

HOLCOMB

Business Name

DONNA R HOLCOMB

Original Issue Date

12/06/1991

Effective Date

12/22/2003

Expiration Date

11/30/2005

City

PLEASANT HILL

State

Zip

62366

County

PIKE

Ever Disciplined

LastModifiedDate

01/09/2006