JACQUELINE LIDDELL Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003505

License Status

EXPIRED

Business

First Name

JACQUELINE

Last Name

LIDDELL

Business Name

JACQUELINE LIDDELL

Original Issue Date

06/30/2010

Effective Date

04/29/2011

Expiration Date

06/30/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2018