NICOLE SUZANNE GARNER Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004170

License Status

CANCELLED

Business

First Name

NICOLE

Middle

SUZANNE

Last Name

GARNER

Business Name

NICOLE SUZANNE GARNER

Original Issue Date

04/01/2019

Effective Date

04/01/2019

Expiration Date

04/01/2020

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/12/2019