CAROLYN D LEYVA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005900

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

LEYVA

Business Name

CAROLYN D LEYVA

Original Issue Date

01/10/2001

Effective Date

11/04/2003

Expiration Date

11/30/2005

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

01/09/2006