BILLIE J BLAIR Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004176

License Status

CANCELLED

Business

First Name

BILLIE

Middle

Last Name

BLAIR

Business Name

BILLIE J BLAIR

Original Issue Date

04/18/2019

Effective Date

04/18/2019

Expiration Date

04/18/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/18/2019