PEGGY J MOLLEMA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003565

License Status

NOT RENEWED

Business

First Name

PEGGY J

Last Name

MOLLEMA

Business Name

PEGGY J MOLLEMA

Original Issue Date

08/02/1988

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2010

Case Number

1996005103

Action

Probation

Discipline Start Date

10/09/1996

Discipline End Date

10/08/1997

Discipline Reason

Failed to submit sufficient proof of continuing education hours during a Department audit.