LUCILLE M STAUFFENBERG - Nursing Home Administrator License in Illinois | # 044000955

LUCILLE M STAUFFENBERG

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000955

License Status

NOT RENEWED

Business

N

First Name

LUCILLE M

Last Name

STAUFFENBERG

Business Name

LUCILLE M STAUFFENBERG

Original Issue Date

12/06/1972

Expiration Date

11/30/1983

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005