DIANA G PORTER - Nursing Home Administrator License in Illinois | # 045003055

DIANA G PORTER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003055

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

G

Last Name

PORTER

Business Name

DIANA G PORTER

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

11/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005