DIANE D LUBE - Nursing Home Administrator License in Illinois | # 045003047

DIANE D LUBE

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003047

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

D

Last Name

LUBE

Business Name

DIANE D LUBE

Original Issue Date

11/04/2004

Effective Date

11/04/2004

Expiration Date

11/04/2005

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005