NOELLE M MACK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005345

License Status

INACTIVE

Business

First Name

NOELLE

Middle

Last Name

MACK

Business Name

NOELLE M MACK

Original Issue Date

09/09/1997

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

10/11/2005