SR FLORINE C LICAVOLI Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002580

License Status

NOT RENEWED

Business

First Name

SR FLORINE

Middle

Last Name

LICAVOLI

Business Name

SR FLORINE C LICAVOLI

Original Issue Date

12/15/1998

Effective Date

02/04/2000

Expiration Date

12/15/1999

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005