AUTUMN NICOLE CLARK - Nursing Home Administrator License in Illinois | # 045004187

AUTUMN NICOLE CLARK

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004187

License Status

EXPIRED

Business

N

First Name

AUTUMN

Middle

NICOLE

Last Name

CLARK

Business Name

AUTUMN NICOLE CLARK

Original Issue Date

06/17/2019

Effective Date

06/17/2019

Expiration Date

06/17/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020