STACEY IDELL MILLER - Nursing Home Administrator License in Illinois | # 045004630

STACEY IDELL MILLER

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004630

License Status

ACTIVE

Business

N

First Name

STACEY

Middle

IDELL

Last Name

MILLER

Business Name

STACEY IDELL MILLER

Original Issue Date

07/24/2024

Effective Date

07/24/2025

Expiration Date

07/24/2026

State

IL

Ever Disciplined

N

LastModifiedDate

11/12/2025