LUCILLE M STAUFFENBERG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000955

License Status

NOT RENEWED

Business

First Name

LUCILLE M

Last Name

STAUFFENBERG

Business Name

LUCILLE M STAUFFENBERG

Original Issue Date

12/06/1972

Expiration Date

11/30/1983

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/27/2005