DIANNA K SPENCE Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002947

License Status

CANCELLED

Business

First Name

DIANNA

Middle

Last Name

SPENCE

Business Name

DIANNA K SPENCE

Original Issue Date

04/29/2003

Effective Date

05/28/2004

Expiration Date

04/29/2004

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/31/2005