AGNES CAMBA-REGALA - Nursing Home Administrator License in Illinois | # 044005163

AGNES CAMBA-REGALA

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005163

License Status

NOT RENEWED

Business

N

First Name

AGNES

Last Name

CAMBA-REGALA

Business Name

AGNES CAMBA-REGALA

Original Issue Date

08/26/1996

Effective Date

12/05/2003

Expiration Date

11/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2006