LAURIE ANNE ELLIS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003122

License Status

EXPIRED

Business

First Name

LAURIE

Middle

ANNE

Last Name

ELLIS

Business Name

LAURIE ANNE ELLIS

Original Issue Date

02/01/2006

Effective Date

02/01/2007

Expiration Date

08/23/2007

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018