TRACY RAYMOND MARTIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002559

License Status

NOT RENEWED

Business

First Name

TRACY RAYMOND

Last Name

MARTIN

Business Name

TRACY RAYMOND MARTIN

Original Issue Date

10/04/1982

Effective Date

09/18/2013

Expiration Date

11/30/2015

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2016