MICHELLE LEE BLAIN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003403

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

LEE

Last Name

BLAIN

Business Name

MICHELLE LEE BLAIN

Original Issue Date

04/02/2009

Effective Date

04/02/2009

Expiration Date

04/02/2010

City

SAINT ELMO

State

Zip

62458

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/04/2018