ADRIANNE DANELLE STORM Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004239

License Status

EXPIRED

Business

First Name

ADRIANNE

Middle

DANELLE

Last Name

STORM

Business Name

ADRIANNE DANELLE STORM

Original Issue Date

01/30/2020

Effective Date

01/30/2020

Expiration Date

01/30/2021

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/11/2021