SR MARY ANTHONY MAZZAFERRI Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002231

License Status

NOT RENEWED

Business

First Name

SR MARY ANTHONY

Last Name

MAZZAFERRI

Business Name

SR MARY ANTHONY MAZZAFERRI

Original Issue Date

09/18/1980

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/11/2005