SUSAN L COLLMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004446

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

COLLMAN

Business Name

SUSAN L COLLMAN

Original Issue Date

03/04/1993

Effective Date

10/30/2017

Expiration Date

11/30/2019

City

KEYESPORT

State

Zip

62253

County

CLINTON

Ever Disciplined

LastModifiedDate

01/23/2020