TRAVIS W LANE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004070

License Status

EXPIRED

Business

First Name

TRAVIS

Middle

Last Name

LANE

Business Name

TRAVIS W LANE

Original Issue Date

11/30/2017

Effective Date

01/03/2019

Expiration Date

01/03/2020

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

03/05/2020