LOIS A LOPEZ Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005694

License Status

NOT RENEWED

Business

First Name

LOIS

Middle

Last Name

LOPEZ

Business Name

LOIS A LOPEZ

Original Issue Date

11/05/1999

Effective Date

11/17/2015

Expiration Date

11/30/2017

City

DE PUE

State

Zip

61322

County

BUREAU

Ever Disciplined

LastModifiedDate

01/04/2018