DAVID EDWARD LENZO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010339

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

EDWARD

Last Name

LENZO

Business Name

DAVID EDWARD LENZO

Original Issue Date

04/16/2008

Effective Date

10/28/2015

Expiration Date

11/30/2017

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018