KELLIE S STANFORD Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011929

License Status

ACTIVE

Business

First Name

KELLIE S

Last Name

STANFORD

Business Name

KELLIE S STANFORD

Original Issue Date

03/31/2022

Effective Date

11/12/2025

Expiration Date

11/30/2027

City

ROSICLARE

State

Zip

62982

Ever Disciplined

LastModifiedDate

11/12/2025