MELISSA M WILLIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011200

License Status

NOT RENEWED

Business

First Name

MELISSA M

Last Name

WILLIS

Business Name

MELISSA M WILLIS

Original Issue Date

01/30/2015

Effective Date

11/16/2015

Expiration Date

11/30/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018