DINA S KELLY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010502

License Status

NOT RENEWED

Business

First Name

DINA

Middle

Last Name

KELLY

Business Name

DINA S KELLY

Original Issue Date

08/12/2009

Effective Date

11/21/2017

Expiration Date

11/30/2019

City

NEW HOPE

State

Zip

18938

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020