KRISTEN A ETCHISON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004190

License Status

CANCELLED

Business

First Name

KRISTEN

Middle

Last Name

ETCHISON

Business Name

KRISTEN A ETCHISON

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/26/2020

City

SHABBONA

State

Zip

60550

County

DEKALB

Ever Disciplined

LastModifiedDate

06/26/2019