ALISHA R BLAYLOCK - Nursing Home Administrator License in Illinois | # 044006266

ALISHA R BLAYLOCK

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006266

License Status

INACTIVE

Business

N

First Name

ALISHA

Middle

R

Last Name

BLAYLOCK

Business Name

ALISHA R BLAYLOCK

Original Issue Date

01/06/2004

Effective Date

11/18/2009

Expiration Date

11/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2011