BRENDA L WEAVER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004065

License Status

EXPIRED

Business

First Name

BRENDA

Middle

Last Name

WEAVER

Business Name

BRENDA L WEAVER

Original Issue Date

11/14/2017

Effective Date

11/14/2017

Expiration Date

11/14/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/21/2019