LISA J DAVIS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004285

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

DAVIS

Business Name

LISA J DAVIS

Original Issue Date

08/20/2020

Effective Date

08/20/2020

Expiration Date

08/20/2021

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

07/27/2022