KELLY E STEVENS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004433

License Status

NOT RENEWED

Business

First Name

KELLY E

Last Name

STEVENS

Business Name

KELLY E STEVENS

Original Issue Date

02/11/1993

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

01/05/2012