JUSTIN A CONNELLY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010642

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

CONNELLY

Business Name

JUSTIN A CONNELLY

Original Issue Date

08/12/2010

Effective Date

12/27/2013

Expiration Date

11/30/2015

City

MORRISON

State

Zip

61270

County

WHITESIDE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/08/2016