KELLY J LEWIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005645

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

LEWIN

Business Name

KELLY J LEWIN

Original Issue Date

06/21/1999

Effective Date

12/01/1999

Expiration Date

11/30/1999

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/11/2005