DIANE L HIPPEN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004977

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

HIPPEN

Business Name

DIANE L HIPPEN

Original Issue Date

09/13/1995

Effective Date

11/12/2003

Expiration Date

11/30/2003

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/11/2005