CARRELL BREEZE - Nursing Home Administrator License in Illinois | # 045002239

CARRELL BREEZE

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002239

License Status

NOT RENEWED

Business

N

First Name

CARRELL

Last Name

BREEZE

Business Name

CARRELL BREEZE

Original Issue Date

06/21/1994

Expiration Date

11/09/1996

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005