PATRICIA A CHISM - Nursing Home Administrator License in Illinois | # 044002570

PATRICIA A CHISM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002570

License Status

NOT RENEWED

Business

N

First Name

PATRICIA A

Last Name

CHISM

Business Name

PATRICIA A CHISM

Original Issue Date

10/04/1982

Effective Date

01/14/2004

Expiration Date

11/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005