CAROLYN D LEYVA - Nursing Home Administrator License in Illinois | # 044005900

CAROLYN D LEYVA

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005900

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

D

Last Name

LEYVA

Business Name

CAROLYN D LEYVA

Original Issue Date

01/10/2001

Effective Date

11/04/2003

Expiration Date

11/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2006