DANIEL RAY STOCKDALE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003920

License Status

EXPIRED

Business

First Name

DANIEL

Middle

RAY

Last Name

STOCKDALE

Business Name

DANIEL RAY STOCKDALE

Original Issue Date

03/17/2016

Effective Date

03/17/2016

Expiration Date

03/17/2017

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

01/04/2018