MELISSA A CLARK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004530

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

CLARK

Business Name

MELISSA A CLARK

Original Issue Date

03/17/2023

Effective Date

03/17/2023

Expiration Date

03/17/2024

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/09/2024