JACLYN S MCMILLIAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003301

License Status

EXPIRED

Business

First Name

JACLYN

Middle

Last Name

MCMILLIAN

Business Name

JACLYN S MCMILLIAN

Original Issue Date

12/04/2007

Effective Date

12/04/2007

Expiration Date

12/04/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018