THERESA M RUSSO Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001108

License Status

INACTIVE

Business

First Name

THERESA M

Last Name

RUSSO

Business Name

THERESA M RUSSO

Original Issue Date

03/12/1974

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2009