PAMELA E STIDHAM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001890

License Status

NOT RENEWED

Business

First Name

PAMELA E

Last Name

STIDHAM

Business Name

PAMELA E STIDHAM

Original Issue Date

06/29/1990

Expiration Date

06/28/1991

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005