KELLY L BISHOP Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004217

License Status

EXPIRED

Business

First Name

KELLY

Middle

Last Name

BISHOP

Business Name

KELLY L BISHOP

Original Issue Date

10/03/2019

Effective Date

10/13/2020

Expiration Date

10/13/2021

City

BENTON

State

Zip

62812

Ever Disciplined

LastModifiedDate

07/27/2022