KATHLEEN A MONTGOMERY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005505

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MONTGOMERY

Business Name

KATHLEEN A MONTGOMERY

Original Issue Date

08/24/1998

Effective Date

09/10/2013

Expiration Date

11/30/2015

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2016