STACIE J MORIMOTO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006273

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

MORIMOTO

Business Name

STACIE J MORIMOTO

Original Issue Date

02/06/2004

Effective Date

02/06/2004

Expiration Date

11/30/2005

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/09/2006