CAROL A DAVIS - Nursing Home Administrator License in Illinois | # 045003010

CAROL A DAVIS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003010

License Status

NOT RENEWED

Business

N

First Name

CAROL

Middle

A

Last Name

DAVIS

Business Name

CAROL A DAVIS

Original Issue Date

03/16/2004

Effective Date

05/02/2005

Expiration Date

03/16/2005

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005