ANDREW CHRISTIAN LANE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004356

License Status

EXPIRED

Business

First Name

ANDREW

Middle

CHRISTIAN

Last Name

LANE

Business Name

ANDREW CHRISTIAN LANE

Original Issue Date

07/06/2021

Effective Date

07/06/2021

Expiration Date

07/06/2022

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

02/15/2023