LILLIE PEDEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002411

License Status

NOT RENEWED

Business

First Name

LILLIE

Last Name

PEDEN

Business Name

LILLIE PEDEN

Original Issue Date

09/09/1996

Expiration Date

01/01/1998

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005