MELISSA J DEGROOT Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003123

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

DEGROOT

Business Name

MELISSA J DEGROOT

Original Issue Date

02/01/2006

Effective Date

02/01/2006

Expiration Date

02/01/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018