SANDRA K LONG Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005639

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

LONG

Business Name

SANDRA K LONG

Original Issue Date

04/22/1999

Effective Date

12/02/2003

Expiration Date

11/30/2003

City

ASHMORE

State

Zip

61912

County

COLES

Ever Disciplined

LastModifiedDate

10/11/2005