JENNIFER M DIAZ - Nursing Home Administrator License in Illinois | # 045003215

JENNIFER M DIAZ

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003215

License Status

EXPIRED

Business

N

First Name

JENNIFER

Middle

M

Last Name

DIAZ

Business Name

JENNIFER M DIAZ

Original Issue Date

12/21/2006

Effective Date

12/21/2006

Expiration Date

12/21/2007

State

IL

Specialty/Qualifier

LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018