REVITA A P DE CHALUS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004815

License Status

NOT RENEWED

Business

First Name

REVITA

Middle

Last Name

P DE CHALUS

Business Name

REVITA A P DE CHALUS

Original Issue Date

12/14/1994

Effective Date

12/01/2023

Expiration Date

11/30/2025

City

BARTLETT

State

Zip

60103

Ever Disciplined

LastModifiedDate

03/05/2026