MARK CLINTON MIRON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003855

License Status

CANCELLED

Business

First Name

MARK

Middle

CLINTON

Last Name

MIRON

Business Name

MARK CLINTON MIRON

Original Issue Date

06/15/2015

Effective Date

06/15/2015

Expiration Date

06/15/2016

City

MOKENA

State

Zip

60448

Ever Disciplined

LastModifiedDate

06/11/2015