NICKI M PALMER Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003912

License Status

CANCELLED

Business

First Name

NICKI

Middle

Last Name

PALMER

Business Name

NICKI M PALMER

Original Issue Date

01/28/2016

Effective Date

01/28/2016

Expiration Date

01/28/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/12/2016