SISTER MARY DRIES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002279

License Status

NOT RENEWED

Business

First Name

SISTER MARY

Last Name

DRIES

Business Name

SISTER MARY DRIES

Original Issue Date

11/12/1980

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/11/2005