DAWN M STAMBAUGH Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006351

License Status

INACTIVE

Business

First Name

DAWN

Middle

Last Name

STAMBAUGH

Business Name

DAWN M STAMBAUGH

Original Issue Date

11/29/2004

Effective Date

11/09/2015

Expiration Date

11/30/2017

City

SMITHFIELD

State

Zip

61477

County

FULTON

Ever Disciplined

LastModifiedDate

09/07/2017