LALITHA KADAVIL MATHEW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002592

License Status

NOT RENEWED

Business

First Name

LALITHA KADAVIL

Last Name

MATHEW

Business Name

LALITHA KADAVIL MATHEW

Original Issue Date

02/16/1999

Effective Date

01/05/2001

Expiration Date

02/16/2000

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005