JOHN PHILLIP FORNERIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002404

License Status

INACTIVE

Business

First Name

JOHN PHILLIP

Last Name

FORNERIS

Business Name

JOHN PHILLIP FORNERIS

Original Issue Date

09/04/1981

Expiration Date

11/30/1987

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005