LAWANNA K KIEFER Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003868

License Status

CANCELLED

Business

First Name

LAWANNA

Middle

Last Name

KIEFER

Business Name

LAWANNA K KIEFER

Original Issue Date

08/13/2015

Effective Date

08/13/2016

Expiration Date

08/13/2017

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

08/13/2015