KATHLEEN M MACE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001887

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MACE

Business Name

KATHLEEN M MACE

Original Issue Date

06/26/1990

Expiration Date

10/19/1991

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005