LISA P PAVELKIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002371

License Status

NOT RENEWED

Business

First Name

LISA P

Last Name

PAVELKIS

Business Name

LISA P PAVELKIS

Original Issue Date

02/29/1996

Expiration Date

02/28/1997

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005