LANCE RICHARD WISE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002258

License Status

NOT RENEWED

Business

First Name

LANCE RICHARD

Last Name

WISE

Business Name

LANCE RICHARD WISE

Original Issue Date

09/18/1980

Expiration Date

11/30/1987

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2007