LOIS MAXINE BERGMAN - Nursing Home Administrator License in Illinois | # 045002019

LOIS MAXINE BERGMAN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002019

License Status

NOT RENEWED

Business

N

First Name

LOIS

Middle

MAXINE

Last Name

BERGMAN

Business Name

LOIS MAXINE BERGMAN

Original Issue Date

08/19/1991

Expiration Date

09/01/1992

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005