MARIE S BORMIDA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004741

License Status

NOT RENEWED

Business

First Name

MARIE S

Last Name

BORMIDA

Business Name

MARIE S BORMIDA

Original Issue Date

08/17/1994

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/05/2012