ELLEN T CLEMENS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001712

License Status

NOT RENEWED

Business

First Name

ELLEN T

Last Name

CLEMENS

Business Name

ELLEN T CLEMENS

Original Issue Date

03/06/1989

Expiration Date

03/06/1990

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

05/31/2005