KELLIE L WILSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003623

License Status

INACTIVE

Business

First Name

KELLIE

Middle

Last Name

WILSON

Business Name

KELLIE L WILSON

Original Issue Date

12/06/2011

Effective Date

12/06/2011

Expiration Date

12/06/2012

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2011