Kelly M Stacey
ExpiredIllinois license 044003652
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044003652
- Status
- Expired (Not Renewed)
- First issued
- May 16, 1989
- Expired
- November 30, 1999
- License holder
- Kelly M Stacey
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Johnston City, IL 62951
Jefferson County