MA LOURDES VAGILIDAD BUENO - Nursing Home Administrator License in Illinois | # 045002893

MA LOURDES VAGILIDAD BUENO

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002893

License Status

CANCELLED

Business

N

First Name

MA LOURDES

Middle

VAGILIDAD

Last Name

BUENO

Business Name

MA LOURDES VAGILIDAD BUENO

Original Issue Date

09/20/2002

Effective Date

05/28/2004

Expiration Date

09/20/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005