THEODORA D BURNETTE - Nursing Home Administrator License in Illinois | # 044010033

THEODORA D BURNETTE

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010033

License Status

NOT RENEWED

Business

N

First Name

THEODORA

Middle

D

Last Name

BURNETTE

Business Name

THEODORA D BURNETTE

Original Issue Date

11/09/2005

Effective Date

11/02/2017

Expiration Date

11/30/2019

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/23/2020