KELLY R KELLEY Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005757

License Status

ACTIVE

Business

First Name

KELLY R

Last Name

KELLEY

Business Name

KELLY R KELLEY

Original Issue Date

02/28/2000

Effective Date

11/12/2025

Expiration Date

11/30/2027

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/12/2025