CHARLOTTE A LILLARD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005292

License Status

INACTIVE

Business

First Name

CHARLOTTE A

Last Name

LILLARD

Business Name

CHARLOTTE A LILLARD

Original Issue Date

06/02/1997

Effective Date

11/05/2003

Expiration Date

11/30/2003

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/11/2005