THERESA D KOLAZ Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003891

License Status

NOT RENEWED

Business

First Name

THERESA D

Last Name

KOLAZ

Business Name

THERESA D KOLAZ

Original Issue Date

06/05/1990

Effective Date

01/07/2022

Expiration Date

11/30/2023

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/16/2024