PATRICIA A CHISM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002570

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

CHISM

Business Name

PATRICIA A CHISM

Original Issue Date

10/04/1982

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/11/2005