LISA J LOCKWOOD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011405

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

LOCKWOOD

Business Name

LISA J LOCKWOOD

Original Issue Date

11/28/2016

Effective Date

11/27/2021

Expiration Date

11/30/2023

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

04/16/2024