MOLLY A SPENCE-HAWK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004251

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

SPENCE-HAWK

Business Name

MOLLY A SPENCE-HAWK

Original Issue Date

02/10/1992

Effective Date

11/17/2009

Expiration Date

11/30/2011

City

DIX

State

Zip

62830

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/05/2012