MIRANDA JO WITT Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004018

License Status

CANCELLED

Business

First Name

MIRANDA

Middle

Last Name

WITT

Business Name

MIRANDA JO WITT

Original Issue Date

04/03/2017

Effective Date

03/01/2017

Expiration Date

03/01/2018

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

06/15/2018