THERESA M RUSSO - Nursing Home Administrator License in Illinois | # 044001108

THERESA M RUSSO

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001108

License Status

INACTIVE

Business

N

First Name

THERESA M

Last Name

RUSSO

Business Name

THERESA M RUSSO

Original Issue Date

03/12/1974

Effective Date

12/01/2007

Expiration Date

11/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2009