SUSAN M CLARK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006410

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CLARK

Business Name

SUSAN M CLARK

Original Issue Date

05/02/2005

Effective Date

10/28/2019

Expiration Date

02/28/2022

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022