GINA FAYE DOUGLASS - Nursing Home Administrator License in Illinois | # 045003560

GINA FAYE DOUGLASS

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003560

License Status

EXPIRED

Business

N

First Name

GINA

Middle

FAYE

Last Name

DOUGLASS

Business Name

GINA FAYE DOUGLASS

Original Issue Date

03/07/2011

Effective Date

03/08/2012

Expiration Date

08/23/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018