BARRY G MANZELLA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003670

License Status

INACTIVE

Business

First Name

BARRY G

Last Name

MANZELLA

Business Name

BARRY G MANZELLA

Original Issue Date

05/12/1989

Expiration Date

11/30/1991

City

BOLINGBROOK

State

Zip

60439

County

WILL

Ever Disciplined

LastModifiedDate

05/27/2005