CAROL A MASSIE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002692

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

MASSIE

Business Name

CAROL A MASSIE

Original Issue Date

05/11/2000

Effective Date

06/13/2002

Expiration Date

03/06/2002

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/11/2005