LATISHA M CRIDER Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004752

License Status

ACTIVE

Business

First Name

LATISHA

Middle

Last Name

CRIDER

Business Name

LATISHA M CRIDER

Original Issue Date

03/25/2026

Effective Date

03/25/2026

Expiration Date

03/25/2027

City

WOOD RIVER

State

Zip

62095

County

MADISON

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

03/25/2026