AGNES CAMBA-REGALA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005163

License Status

NOT RENEWED

Business

First Name

AGNES

Last Name

CAMBA-REGALA

Business Name

AGNES CAMBA-REGALA

Original Issue Date

08/26/1996

Effective Date

12/05/2003

Expiration Date

11/30/2005

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2006