SANDRA K BAUM Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004317

License Status

INACTIVE

Business

First Name

SANDRA K

Last Name

BAUM

Business Name

SANDRA K BAUM

Original Issue Date

06/08/1992

Effective Date

12/03/2001

Expiration Date

11/30/2001

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/11/2005