JERRY CHARLES MITVALSKY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001406

License Status

INACTIVE

Business

First Name

JERRY CHARLES

Last Name

MITVALSKY

Business Name

JERRY CHARLES MITVALSKY

Original Issue Date

04/08/1976

Expiration Date

11/30/1987

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005