PAMELA R MIX-BISSEY Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003236

License Status

EXPIRED

Business

First Name

PAMELA

Middle

Last Name

MIX-BISSEY

Business Name

PAMELA R MIX-BISSEY

Original Issue Date

04/11/2007

Effective Date

04/11/2007

Expiration Date

04/11/2008

City

CISNE

State

Zip

62823

County

WAYNE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018