LISA MICHELLE MCCOY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011103

License Status

INACTIVE

Business

First Name

LISA

Middle

MICHELLE

Last Name

MCCOY

Business Name

LISA MICHELLE MCCOY

Original Issue Date

04/08/2014

Effective Date

11/15/2017

Expiration Date

11/30/2019

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2019