SUSAN L HOLIFIELD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005397

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

HOLIFIELD

Business Name

SUSAN L HOLIFIELD

Original Issue Date

12/11/1997

Effective Date

01/23/2022

Expiration Date

11/30/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/16/2024