LEOLA M MIXON - Nursing Home Administrator License in Illinois | # 045003564

LEOLA M MIXON

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003564

License Status

EXPIRED

Business

N

First Name

LEOLA

Middle

M

Last Name

MIXON

Business Name

LEOLA M MIXON

Original Issue Date

03/17/2011

Effective Date

03/17/2012

Expiration Date

05/24/2012

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018