LORI G MCCULLOM Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004555

License Status

INACTIVE

Business

First Name

LORI G

Last Name

MCCULLOM

Business Name

LORI G MCCULLOM

Original Issue Date

09/14/1993

Effective Date

11/14/2003

Expiration Date

11/30/2003

City

WEST ORANGE

State

Zip

07052

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/11/2005

Case Number

1998000373

Action

Fine

Discipline Start Date

08/11/1998

Discipline Reason

Failing to provide sufficient proof of required continuing education hours during a Department audit.