STACY THOMAS BLUE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003502

License Status

EXPIRED

Business

First Name

STACY

Middle

THOMAS

Last Name

BLUE

Business Name

STACY THOMAS BLUE

Original Issue Date

06/21/2010

Effective Date

04/16/2010

Expiration Date

04/16/2011

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

01/04/2018