KELLIE S STANFORD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004287

License Status

EXPIRED

Business

First Name

KELLIE S

Last Name

STANFORD

Business Name

KELLIE S STANFORD

Original Issue Date

09/10/2020

Effective Date

10/13/2021

Expiration Date

10/13/2022

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

02/15/2023