JEAN M MLSNA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003439

License Status

INACTIVE

Business

First Name

JEAN M

Last Name

MLSNA

Business Name

JEAN M MLSNA

Original Issue Date

08/01/1987

Effective Date

11/18/2003

Expiration Date

11/30/2005

City

MARINETTE

State

Zip

54143

Ever Disciplined

LastModifiedDate

10/11/2005