DONNA JEAN MALONE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003630

License Status

EXPIRED

Business

First Name

DONNA

Middle

JEAN

Last Name

MALONE

Business Name

DONNA JEAN MALONE

Original Issue Date

02/02/2012

Effective Date

02/02/2012

Expiration Date

02/02/2013

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018