DIANE L BARTLEBAUGH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003777

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BARTLEBAUGH

Business Name

DIANE L BARTLEBAUGH

Original Issue Date

02/07/2014

Effective Date

02/07/2014

Expiration Date

02/07/2015

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

05/18/2015