JANELLE MARIE CLARK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003228

License Status

EXPIRED

Business

First Name

JANELLE

Middle

MARIE

Last Name

CLARK

Business Name

JANELLE MARIE CLARK

Original Issue Date

03/15/2007

Effective Date

03/15/2007

Expiration Date

03/15/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018