MALLORY R KITCHENS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004437

License Status

EXPIRED

Business

First Name

MALLORY

Middle

Last Name

KITCHENS

Business Name

MALLORY R KITCHENS

Original Issue Date

05/17/2022

Effective Date

05/17/2022

Expiration Date

05/17/2023

City

NOKOMIS

State

Zip

62075

Ever Disciplined

LastModifiedDate

04/16/2024