NICOLE D STAUFFER - Nursing Home Administrator License in Illinois | # 045002392

NICOLE D STAUFFER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002392

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

D

Last Name

STAUFFER

Business Name

NICOLE D STAUFFER

Original Issue Date

07/18/1996

Expiration Date

09/23/1997

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005