PAMELLA J GOODMAN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003923

License Status

CANCELLED

Business

First Name

PAMELLA J

Last Name

GOODMAN

Business Name

PAMELLA J GOODMAN

Original Issue Date

03/22/2016

Effective Date

03/22/2017

Expiration Date

03/22/2018

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

06/15/2018