ERICA OTTO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003728

License Status

NOT RENEWED

Business

First Name

ERICA

Last Name

OTTO

Business Name

ERICA OTTO

Original Issue Date

06/20/2013

Effective Date

06/20/2014

Expiration Date

06/20/2015

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/07/2016