CARRIE L BENNETT Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004363

License Status

EXPIRED

Business

First Name

CARRIE

Middle

Last Name

BENNETT

Business Name

CARRIE L BENNETT

Original Issue Date

08/06/2021

Effective Date

08/06/2021

Expiration Date

08/06/2022

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

02/15/2023