SANDRA S MIDDLETON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002395

License Status

NOT RENEWED

Business

First Name

SANDRA S

Last Name

MIDDLETON

Business Name

SANDRA S MIDDLETON

Original Issue Date

07/19/1996

Expiration Date

07/11/1997

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005