ALEXANDRA MARY LEE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004495

License Status

EXPIRED

Business

First Name

ALEXANDRA

Middle

MARY

Last Name

LEE

Business Name

ALEXANDRA MARY LEE

Original Issue Date

01/13/2023

Effective Date

01/13/2023

Expiration Date

01/13/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/09/2024