LAURA B NORTHWAY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010037

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

NORTHWAY

Business Name

LAURA B NORTHWAY

Original Issue Date

11/21/2005

Effective Date

11/14/2019

Expiration Date

11/30/2021

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/14/2019