LORI A MOON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011290

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

MOON

Business Name

LORI A MOON

Original Issue Date

11/12/2015

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

VIRGINIA

State

Zip

62691

County

CASS

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020