DORRAINE J MCCULLOUGH - Nursing Home Administrator License in Illinois | # 045003445

DORRAINE J MCCULLOUGH

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003445

License Status

EXPIRED

Business

N

First Name

DORRAINE

Middle

J

Last Name

MCCULLOUGH

Business Name

DORRAINE J MCCULLOUGH

Original Issue Date

09/29/2009

Effective Date

10/01/2009

Expiration Date

10/01/2010

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018