SR MARY P MAZZORANA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002047

License Status

NOT RENEWED

Business

First Name

SR MARY P

Last Name

MAZZORANA

Business Name

SR MARY P MAZZORANA

Original Issue Date

05/30/1979

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/11/2005