PEGGY R BLACKMORE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003193

License Status

EXPIRED

Business

First Name

PEGGY R

Last Name

BLACKMORE

Business Name

PEGGY R BLACKMORE

Original Issue Date

10/11/2006

Effective Date

10/11/2006

Expiration Date

10/11/2007

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018