KELLY R LEITSCH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005957

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LEITSCH

Business Name

KELLY R LEITSCH

Original Issue Date

06/05/2001

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

LAKE VILLA

State

Zip

60046

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/11/2005