KELLY J KIRCHNER Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002868

License Status

CANCELLED

Business

First Name

KELLY

Middle

Last Name

KIRCHNER

Business Name

KELLY J KIRCHNER

Original Issue Date

05/15/2002

Effective Date

05/28/2004

Expiration Date

05/15/2003

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

05/31/2005