LOLA F SOUPIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000773

License Status

NOT RENEWED

Business

First Name

LOLA F

Last Name

SOUPIS

Business Name

LOLA F SOUPIS

Expiration Date

11/30/1983

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/27/2005