LEOLA M MIXON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003564

License Status

EXPIRED

Business

First Name

LEOLA

Middle

Last Name

MIXON

Business Name

LEOLA M MIXON

Original Issue Date

03/17/2011

Effective Date

03/17/2012

Expiration Date

05/24/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018