CAROLYN D LEYVA - Nursing Home Administrator License in Illinois | # 045002700

CAROLYN D LEYVA

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002700

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

D

Last Name

LEYVA

Business Name

CAROLYN D LEYVA

Original Issue Date

06/22/2000

Effective Date

10/25/2001

Expiration Date

06/01/2001

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005