LISA M DAVENPORT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003178

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

DAVENPORT

Business Name

LISA M DAVENPORT

Original Issue Date

04/15/1986

Expiration Date

11/30/1989

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/27/2005