DONNA F VAN MIDDENDORP Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002989

License Status

NOT RENEWED

Business

First Name

DONNA F

Last Name

VAN MIDDENDORP

Business Name

DONNA F VAN MIDDENDORP

Original Issue Date

01/06/2004

Effective Date

02/01/2005

Expiration Date

01/06/2005

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

05/31/2005