SR FLORINE C LICAVOLI - Nursing Home Administrator License in Illinois | # 045002580

SR FLORINE C LICAVOLI

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002580

License Status

NOT RENEWED

Business

N

First Name

SR FLORINE

Middle

C

Last Name

LICAVOLI

Business Name

SR FLORINE C LICAVOLI

Original Issue Date

12/15/1998

Effective Date

02/04/2000

Expiration Date

12/15/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005