DAGMAR A SIMON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005472

License Status

INACTIVE

Business

First Name

DAGMAR

Middle

Last Name

SIMON

Business Name

DAGMAR A SIMON

Original Issue Date

07/06/1998

Effective Date

11/05/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2005