MIRANDA JO WITT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011625

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

WITT

Business Name

MIRANDA JO WITT

Original Issue Date

10/25/2018

Effective Date

10/25/2018

Expiration Date

11/30/2019

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/23/2020