STACEY IDELL MILLER Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004630

License Status

ACTIVE

Business

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

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

11/12/2025