BLAKE A WILLEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006240

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

WILLEY

Business Name

BLAKE A WILLEY

Original Issue Date

10/16/2003

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2016