KIMBERLY A CORNELL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003109

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

CORNELL

Business Name

KIMBERLY A CORNELL

Original Issue Date

10/17/2005

Effective Date

10/17/2005

Expiration Date

10/17/2006

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/03/2006