NICOLE D STAUFFER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002392

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

STAUFFER

Business Name

NICOLE D STAUFFER

Original Issue Date

07/18/1996

Expiration Date

09/23/1997

City

SUMNER

State

Zip

62466

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/31/2005