CASEY A MCCULLAR Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044012016

License Status

INACTIVE

Business

First Name

CASEY

Middle

Last Name

MCCULLAR

Business Name

CASEY A MCCULLAR

Original Issue Date

07/28/2023

Effective Date

09/03/2023

Expiration Date

11/30/2025

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

06/13/2025