STEPHANIE LYNN WISE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003266

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

WISE

Business Name

STEPHANIE LYNN WISE

Original Issue Date

07/03/2007

Effective Date

07/03/2007

Expiration Date

09/04/2008

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018