ELLEN T CLEMENS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003864

License Status

INACTIVE

Business

First Name

ELLEN T

Last Name

CLEMENS

Business Name

ELLEN T CLEMENS

Original Issue Date

06/05/1990

Expiration Date

11/30/1999

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/11/2005