KANNA S ORD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006197

License Status

INACTIVE

Business

First Name

KANNA

Middle

Last Name

ORD

Business Name

KANNA S ORD

Original Issue Date

06/05/2003

Effective Date

10/14/2003

Expiration Date

11/30/2005

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

10/11/2005