LONNIE L NICHOLS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006133

License Status

NOT RENEWED

Business

First Name

LONNIE L

Last Name

NICHOLS

Business Name

LONNIE L NICHOLS

Original Issue Date

11/21/2002

Effective Date

11/13/2015

Expiration Date

11/30/2017

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

01/04/2018