KATHY D PICKERING Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002821

License Status

CANCELLED

Business

First Name

KATHY

Middle

Last Name

PICKERING

Business Name

KATHY D PICKERING

Original Issue Date

10/30/2001

Effective Date

05/28/2004

Expiration Date

10/24/2003

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/31/2005