SUSAN R CAPPELLIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004823

License Status

INACTIVE

Business

First Name

SUSAN R

Last Name

CAPPELLIN

Business Name

SUSAN R CAPPELLIN

Original Issue Date

12/21/1994

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

KINCAID

State

Zip

62540

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/11/2005