LISA ANN CLARK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003263

License Status

EXPIRED

Business

First Name

LISA

Middle

ANN

Last Name

CLARK

Business Name

LISA ANN CLARK

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

06/20/2008

City

WHITE HALL

State

Zip

62092

County

GREENE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018