STACIE J MORIMOTO - Nursing Home Administrator License in Illinois | # 044006273

STACIE J MORIMOTO

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006273

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

J

Last Name

MORIMOTO

Business Name

STACIE J MORIMOTO

Original Issue Date

02/06/2004

Effective Date

02/06/2004

Expiration Date

11/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2006