LISA LYNN MILLER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003073

License Status

EXPIRED

Business

First Name

LISA

Middle

LYNN

Last Name

MILLER

Business Name

LISA LYNN MILLER

Original Issue Date

02/03/2005

Effective Date

02/03/2005

Expiration Date

02/03/2006

City

DANVILLE

State

Zip

61832

Ever Disciplined

LastModifiedDate

01/04/2018