ELEANOR KIRSTEN HAVENS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002187

License Status

NOT RENEWED

Business

First Name

ELEANOR KIRSTEN

Last Name

HAVENS

Business Name

ELEANOR KIRSTEN HAVENS

Original Issue Date

08/12/1993

Expiration Date

06/21/1994

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005