CATHY LIETZ Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002863

License Status

CANCELLED

Business

First Name

CATHY

Last Name

LIETZ

Business Name

CATHY LIETZ

Original Issue Date

05/06/2002

Effective Date

05/28/2004

Expiration Date

05/06/2003

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/31/2005