BRIAN KEITH ANDERSON Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004662

License Status

ACTIVE

Business

First Name

BRIAN

Middle

KEITH

Last Name

ANDERSON

Business Name

BRIAN KEITH ANDERSON

Original Issue Date

12/17/2024

Effective Date

12/17/2024

Expiration Date

12/17/2025

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/07/2025