LAURA B NORTHWAY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003038

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

NORTHWAY

Business Name

LAURA B NORTHWAY

Original Issue Date

08/05/2004

Effective Date

08/05/2004

Expiration Date

08/05/2005

City

RED BUD

State

Zip

62278

County

MONROE

Ever Disciplined

LastModifiedDate

05/31/2005