AMANDA M COLWELL Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004067

License Status

CANCELLED

Business

First Name

AMANDA

Middle

Last Name

COLWELL

Business Name

AMANDA M COLWELL

Original Issue Date

11/17/2017

Effective Date

09/25/2018

Expiration Date

09/25/2019

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2017