ROSLYN M AGPASA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005164

License Status

INACTIVE

Business

First Name

ROSLYN M

Last Name

AGPASA

Business Name

ROSLYN M AGPASA

Original Issue Date

08/27/1996

Effective Date

01/26/2004

Expiration Date

11/30/2003

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/11/2005