ROBERTA L CAMACHO Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010424

License Status

INACTIVE

Business

First Name

ROBERTA

Middle

Last Name

CAMACHO

Business Name

ROBERTA L CAMACHO

Original Issue Date

12/12/2008

Effective Date

12/15/2021

Expiration Date

11/30/2023

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

10/04/2023