MIRANDA JO WITT - Nursing Home Administrator License in Illinois | # 045004018

MIRANDA JO WITT

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004018

License Status

CANCELLED

Business

N

First Name

MIRANDA

Middle

JO

Last Name

WITT

Business Name

MIRANDA JO WITT

Original Issue Date

04/03/2017

Effective Date

03/01/2017

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/15/2018