KELLY R LEITSCH - Nursing Home Administrator License in Illinois | # 045002733

KELLY R LEITSCH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002733

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

R

Last Name

LEITSCH

Business Name

KELLY R LEITSCH

Original Issue Date

11/27/2000

Effective Date

10/25/2001

Expiration Date

07/13/2001

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005