ERICA M DALZIEL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011121

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

DALZIEL

Business Name

ERICA M DALZIEL

Original Issue Date

05/21/2014

Effective Date

11/07/2018

Expiration Date

11/30/2019

City

FORT ATKINSON

State

Zip

53538

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/23/2020