LILLIAN S FORTNER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010340

License Status

NOT RENEWED

Business

First Name

LILLIAN

Middle

Last Name

FORTNER

Business Name

LILLIAN S FORTNER

Original Issue Date

04/17/2008

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

GALLATIN

State

Zip

37066

County

WHITE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020