STACEY LORENE GOWIN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004660

License Status

ACTIVE

Business

First Name

STACEY

Middle

LORENE

Last Name

GOWIN

Business Name

STACEY LORENE GOWIN

Original Issue Date

12/16/2024

Effective Date

12/16/2024

Expiration Date

12/16/2025

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

09/12/2025