ALPHONSA J THORAKKAL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010611

License Status

NOT RENEWED

Business

First Name

ALPHONSA

Middle

Last Name

THORAKKAL

Business Name

ALPHONSA J THORAKKAL

Original Issue Date

06/02/2010

Effective Date

09/13/2011

Expiration Date

11/30/2013

City

GLENDALE HTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

02/19/2014