NICOLE LEANNE NEUSTADT Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003305

License Status

EXPIRED

Business

First Name

NICOLE

Middle

LEANNE

Last Name

NEUSTADT

Business Name

NICOLE LEANNE NEUSTADT

Original Issue Date

12/12/2007

Effective Date

12/12/2007

Expiration Date

12/12/2008

City

AMBOY

State

Zip

61310

County

LEE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018