JOSHUA PAUL MATHIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010855

License Status

INACTIVE

Business

First Name

JOSHUA

Middle

PAUL

Last Name

MATHIS

Business Name

JOSHUA PAUL MATHIS

Original Issue Date

05/04/2012

Effective Date

03/01/2022

Expiration Date

11/30/2023

City

LOUISVILLE

State

Zip

62858

County

CLAY

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

12/01/2023