LORI A MOON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003830

License Status

CANCELLED

Business

First Name

LORI A

Last Name

MOON

Business Name

LORI A MOON

Original Issue Date

12/10/2014

Effective Date

12/10/2014

Expiration Date

12/10/2015

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

12/10/2014