LALITHA KADAVIL MATHEW - Nursing Home Administrator License in Illinois | # 045002592

LALITHA KADAVIL MATHEW

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002592

License Status

NOT RENEWED

Business

N

First Name

LALITHA KADAVIL

Last Name

MATHEW

Business Name

LALITHA KADAVIL MATHEW

Original Issue Date

02/16/1999

Effective Date

01/05/2001

Expiration Date

02/16/2000

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005