DOROTHEA B MARTIN - Nursing Home Administrator License in Illinois | # 045002758

DOROTHEA B MARTIN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002758

License Status

NOT RENEWED

Business

N

First Name

DOROTHEA

Middle

B

Last Name

MARTIN

Business Name

DOROTHEA B MARTIN

Original Issue Date

02/28/2001

Effective Date

06/13/2002

Expiration Date

12/04/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005