KHAYRIYYAH BAKIR ALI-MORON - Nursing Home Administrator License in Illinois | # 045001629

KHAYRIYYAH BAKIR ALI-MORON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001629

License Status

NOT RENEWED

Business

N

First Name

KHAYRIYYAH

Middle

BAKIR

Last Name

ALI-MORON

Business Name

KHAYRIYYAH BAKIR ALI-MORON

Original Issue Date

06/30/1988

Expiration Date

06/30/1989

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005