LAURIE ANNE ELLIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010268

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

ANNE

Last Name

ELLIS

Business Name

LAURIE ANNE ELLIS

Original Issue Date

10/25/2007

Effective Date

09/29/2009

Expiration Date

11/30/2011

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/05/2012