COLLEEN KAY CLEMENS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010578

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

KAY

Last Name

CLEMENS

Business Name

COLLEEN KAY CLEMENS

Original Issue Date

03/23/2010

Effective Date

05/04/2012

Expiration Date

11/30/2013

City

LOWELL

State

Zip

46356

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

02/19/2014