CLAYTON MICHAEL NIEMAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003546

License Status

EXPIRED

Business

First Name

CLAYTON

Middle

MICHAEL

Last Name

NIEMAN

Business Name

CLAYTON MICHAEL NIEMAN

Original Issue Date

12/16/2010

Effective Date

12/16/2010

Expiration Date

12/16/2011

City

HAMILTON

State

Zip

62341

County

HANCOCK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018