DEMETRIA C RAFAEL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002566

License Status

NOT RENEWED

Business

First Name

DEMETRIA

Middle

Last Name

RAFAEL

Business Name

DEMETRIA C RAFAEL

Original Issue Date

10/08/1998

Effective Date

02/04/2000

Expiration Date

10/08/1999

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2005