SR MARY DOROTHEA MICEK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002872

License Status

INACTIVE

Business

First Name

SR MARY DOROTHEA

Last Name

MICEK

Business Name

SR MARY DOROTHEA MICEK

Original Issue Date

03/28/1984

Expiration Date

11/30/1989

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005