MELISSA ANNE STACHOWIAK Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003865

License Status

CANCELLED

Business

First Name

MELISSA

Middle

ANNE

Last Name

STACHOWIAK

Business Name

MELISSA ANNE STACHOWIAK

Original Issue Date

08/10/2015

Effective Date

08/10/2015

Expiration Date

08/10/2016

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

08/10/2015