KIZZIE L GORSUCH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010794

License Status

NOT RENEWED

Business

First Name

KIZZIE

Middle

Last Name

GORSUCH

Business Name

KIZZIE L GORSUCH

Original Issue Date

11/22/2011

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

ASTORIA

State

Zip

61501

County

FULTON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/08/2016