SUSAN E SHOWALTER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002747

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SHOWALTER

Business Name

SUSAN E SHOWALTER

Original Issue Date

01/19/2001

Effective Date

12/03/2002

Expiration Date

08/01/2002

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

10/11/2005