NICOLE R MOUNTAIN - Nursing Home Administrator License in Illinois | # 045001911

NICOLE R MOUNTAIN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001911

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

R

Last Name

MOUNTAIN

Business Name

NICOLE R MOUNTAIN

Original Issue Date

08/14/1990

Expiration Date

08/13/1991

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005