LISA M CARROLL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010633

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CARROLL

Business Name

LISA M CARROLL

Original Issue Date

07/29/2010

Effective Date

10/11/2011

Expiration Date

11/30/2013

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

02/19/2014