BRANDY ANN BLACK Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011575

License Status

ACTIVE

Business

First Name

BRANDY

Middle

ANN

Last Name

BLACK

Business Name

BRANDY ANN BLACK

Original Issue Date

05/16/2018

Effective Date

11/13/2025

Expiration Date

11/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/13/2025