CHRISTINE A TABAKA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002205

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

TABAKA

Business Name

CHRISTINE A TABAKA

Original Issue Date

11/18/1993

Expiration Date

11/01/1994

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005