CARLENE C ELLBERG Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002192

License Status

INACTIVE

Business

First Name

CARLENE C

Last Name

ELLBERG

Business Name

CARLENE C ELLBERG

Original Issue Date

06/16/1980

Expiration Date

11/30/1985

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

05/27/2005