LOLA L WHITE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006011

License Status

INACTIVE

Business

First Name

LOLA

Middle

Last Name

WHITE

Business Name

LOLA L WHITE

Original Issue Date

01/22/2002

Effective Date

11/04/2015

Expiration Date

11/30/2017

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/04/2015