CYNTHIA L BALLANCE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002748

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

BALLANCE

Business Name

CYNTHIA L BALLANCE

Original Issue Date

02/09/2001

Effective Date

06/13/2002

Expiration Date

01/02/2002

City

GOLDEN

State

Zip

62339

County

ADAMS

Ever Disciplined

LastModifiedDate

10/11/2005