KYLE LYNN RIVA Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004602

License Status

ACTIVE

Business

First Name

KYLE

Middle

LYNN

Last Name

RIVA

Business Name

KYLE LYNN RIVA

Original Issue Date

04/10/2024

Effective Date

04/10/2025

Expiration Date

04/10/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

08/11/2025