VICKIE M DAVIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005220

License Status

NOT RENEWED

Business

First Name

VICKIE M

Last Name

DAVIS

Business Name

VICKIE M DAVIS

Original Issue Date

12/11/1996

Effective Date

11/06/2017

Expiration Date

11/30/2019

City

BONFIELD

State

Zip

60913

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/23/2020