KELLY E STEVENS - Nursing Home Administrator License in Illinois | # 044004433

KELLY E STEVENS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004433

License Status

NOT RENEWED

Business

N

First Name

KELLY E

Last Name

STEVENS

Business Name

KELLY E STEVENS

Original Issue Date

02/11/1993

Effective Date

09/02/2009

Expiration Date

11/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2012