DIANA L EISENBERG Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004307

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

EISENBERG

Business Name

DIANA L EISENBERG

Original Issue Date

05/05/1992

Expiration Date

11/30/1993

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

05/27/2005