TARA LOUISE STONE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002969

License Status

EXPIRED

Business

First Name

TARA

Middle

LOUISE

Last Name

STONE

Business Name

TARA LOUISE STONE

Original Issue Date

09/18/2003

Effective Date

09/23/2004

Expiration Date

09/18/2004

City

CHEYENNE

State

Zip

82009

County

WYOMING

Ever Disciplined

LastModifiedDate

01/04/2018