STACY J B GORDON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001785

License Status

NOT RENEWED

Business

First Name

STACY J B

Last Name

GORDON

Business Name

STACY J B GORDON

Original Issue Date

08/22/1989

Expiration Date

08/21/1990

City

NEWMAN

State

Zip

61942

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/31/2005