MICHAEL A HOLCOMB Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004168

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

HOLCOMB

Business Name

MICHAEL A HOLCOMB

Original Issue Date

03/25/2019

Effective Date

05/08/2020

Expiration Date

05/08/2021

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/20/2021