CAROL E DISANZA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010137

License Status

INACTIVE

Business

First Name

CAROL

Middle

Last Name

DISANZA

Business Name

CAROL E DISANZA

Original Issue Date

10/25/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

SAINT LOUIS

State

Zip

63126

County

MISSOURI

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/02/2009