DIANA RAE GILL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002608

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

RAE

Last Name

GILL

Business Name

DIANA RAE GILL

Original Issue Date

04/09/1999

Effective Date

01/05/2001

Expiration Date

04/09/2000

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/31/2005