MICHAEL LEE STANFIELD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003101

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

LEE

Last Name

STANFIELD

Business Name

MICHAEL LEE STANFIELD

Original Issue Date

09/29/2005

Effective Date

09/29/2005

Expiration Date

09/29/2006

City

CARLYLE

State

Zip

62231

County

CLINTON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/03/2006