LISA S MIDDLETON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010005

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

MIDDLETON

Business Name

LISA S MIDDLETON

Original Issue Date

06/13/2005

Effective Date

11/06/2009

Expiration Date

11/30/2011

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

09/07/2011