DAVID J LANE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004294

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

LANE

Business Name

DAVID J LANE

Original Issue Date

10/16/2020

Effective Date

10/16/2020

Expiration Date

10/16/2021

City

ALBION

State

Zip

62806

County

EDWARDS

Ever Disciplined

LastModifiedDate

07/27/2022