BRIAN E EUGENE O KELLEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005073

License Status

NOT RENEWED

Business

First Name

BRIAN E

Middle

EUGENE

Last Name

O KELLEY

Business Name

BRIAN E EUGENE O KELLEY

Original Issue Date

03/12/1996

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2016