LACEY ANN MOFFITT - Nursing Home Administrator License in Illinois | # 045004300

LACEY ANN MOFFITT

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004300

License Status

CANCELLED

Business

N

First Name

LACEY

Middle

ANN

Last Name

MOFFITT

Business Name

LACEY ANN MOFFITT

Original Issue Date

10/22/2020

Effective Date

10/22/2020

Expiration Date

10/22/2021

State

IL

Ever Disciplined

N

LastModifiedDate

10/22/2020