PHYLLIS L LAVENAU Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002771

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

LAVENAU

Business Name

PHYLLIS L LAVENAU

Original Issue Date

07/07/1983

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/11/2005