BLAKE A WILLEY - Nursing Home Administrator License in Illinois | # 044006240

BLAKE A WILLEY

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006240

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

A

Last Name

WILLEY

Business Name

BLAKE A WILLEY

Original Issue Date

10/16/2003

Effective Date

09/05/2013

Expiration Date

11/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2016