JEREMY LAWRENCE LEE RUNYON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003960

License Status

EXPIRED

Business

First Name

JEREMY

Middle

LAWRENCE LEE

Last Name

RUNYON

Business Name

JEREMY LAWRENCE LEE RUNYON

Original Issue Date

09/06/2016

Effective Date

09/06/2016

Expiration Date

09/06/2017

City

FLANAGAN

State

Zip

61740

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/04/2018