STANLEY E CLOUSE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002111

License Status

NOT RENEWED

Business

First Name

STANLEY E

Last Name

CLOUSE

Business Name

STANLEY E CLOUSE

Original Issue Date

09/21/1979

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

WEST FARGO

State

Zip

58078

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

01/08/2016