Kellie L Wilson
InactiveIllinois license 045003623
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045003623
- Status
- Inactive
- First issued
- December 6, 2011
- Expired
- December 6, 2012
- License holder
- Kellie L Wilson
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 12/06/2011
Contact
Maryville, IL 62062
Madison County