STACEY LORENE GOWIN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044012173

License Status

ACTIVE

Business

First Name

STACEY

Middle

LORENE

Last Name

GOWIN

Business Name

STACEY LORENE GOWIN

Original Issue Date

09/15/2025

Effective Date

09/15/2025

Expiration Date

11/30/2027

City

DUNDAS

State

Zip

62425

Ever Disciplined

LastModifiedDate

09/12/2025