STACY L DIKEMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010045

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

DIKEMAN

Business Name

STACY L DIKEMAN

Original Issue Date

12/02/2005

Effective Date

09/28/2011

Expiration Date

11/30/2013

State

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

02/19/2014

Case Number

2007002488

Action

Suspension

Discipline Start Date

11/07/2007

Discipline End Date

11/05/2010

Discipline Reason

as a result of violations discovered during a survey of a nursing home conducted by the Illinois Department of Public Health.