LISA MICHELLE MCCOY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003715

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

MCCOY

Business Name

LISA MICHELLE MCCOY

Original Issue Date

04/11/2013

Effective Date

04/11/2013

Expiration Date

04/11/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

08/12/2014