KELLY J LEWIN - Nursing Home Administrator License in Illinois | # 044005645

KELLY J LEWIN

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005645

License Status

INACTIVE

Business

N

First Name

KELLY

Middle

J

Last Name

LEWIN

Business Name

KELLY J LEWIN

Original Issue Date

06/21/1999

Effective Date

12/01/1999

Expiration Date

11/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005