ANNETTE V ETHERIDGE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002037

License Status

NOT RENEWED

Business

First Name

ANNETTE V

Last Name

ETHERIDGE

Business Name

ANNETTE V ETHERIDGE

Original Issue Date

10/18/1991

Expiration Date

09/14/1992

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

05/31/2005