EVANNA LEE ANDERSEN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001720

License Status

INACTIVE

Business

First Name

EVANNA LEE

Last Name

ANDERSEN

Business Name

EVANNA LEE ANDERSEN

Original Issue Date

08/24/1977

Expiration Date

11/30/1991

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/27/2005