DIANE L BARTLEBAUGH - Nursing Home Administrator License in Illinois | # 045003777

DIANE L BARTLEBAUGH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003777

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

L

Last Name

BARTLEBAUGH

Business Name

DIANE L BARTLEBAUGH

Original Issue Date

02/07/2014

Effective Date

02/07/2014

Expiration Date

02/07/2015

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

05/18/2015