LORI J KONICEK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004913

License Status

INACTIVE

Business

First Name

LORI J

Last Name

KONICEK

Business Name

LORI J KONICEK

Original Issue Date

06/06/1995

Effective Date

11/07/2017

Expiration Date

11/30/2019

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

09/04/2019