THEODORA D BURNETTE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010033

License Status

NOT RENEWED

Business

First Name

THEODORA

Middle

Last Name

BURNETTE

Business Name

THEODORA D BURNETTE

Original Issue Date

11/09/2005

Effective Date

11/02/2017

Expiration Date

11/30/2019

City

JOLIET

State

Zip

60432

County

WILL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020