CONNIE WILLIAMS MOODIE

Business Entity
NOT RENEWED

Nursing Home Administrator

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

045001829

NOT RENEWED

N

CONNIE

WILLIAMS MOODIE

CONNIE WILLIAMS MOODIE

12/15/1989

12/13/1990

MOMENCE

IL

60954

KANKAKEE

N

05/31/2005