TERRA LYNN POTOCKI - Nursing Home Administrator License in Illinois | # 044001734

TERRA LYNN POTOCKI

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001734

License Status

NOT RENEWED

Business

N

First Name

TERRA LYNN

Last Name

POTOCKI

Business Name

TERRA LYNN POTOCKI

Original Issue Date

08/24/1977

Expiration Date

11/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005