KELSEY RENEE MIKA Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004252

License Status

EXPIRED

Business

First Name

KELSEY

Middle

RENEE

Last Name

MIKA

Business Name

KELSEY RENEE MIKA

Original Issue Date

03/18/2020

Effective Date

05/21/2021

Expiration Date

05/21/2022

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

07/27/2022