TERESITA MA D VILLANUEVA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001449

License Status

NOT RENEWED

Business

First Name

TERESITA MA

Middle

Last Name

VILLANUEVA

Business Name

TERESITA MA D VILLANUEVA

Original Issue Date

11/10/1986

Expiration Date

09/02/1987

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005