CHARLOTTE A LILLARD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002440

License Status

NOT RENEWED

Business

First Name

CHARLOTTE A

Last Name

LILLARD

Business Name

CHARLOTTE A LILLARD

Original Issue Date

01/09/1997

Expiration Date

01/21/1998

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005