DAWN R GOSSAGE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002996

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

GOSSAGE

Business Name

DAWN R GOSSAGE

Original Issue Date

01/23/2004

Effective Date

02/01/2005

Expiration Date

01/23/2005

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

05/31/2005