TARA LOUISE STONE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010028

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LOUISE

Last Name

STONE

Business Name

TARA LOUISE STONE

Original Issue Date

10/13/2005

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHEYENNE

State

Zip

82009

County

WYOMING

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/07/2010