IVY K FISHMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002611

License Status

NOT RENEWED

Business

First Name

IVY

Middle

Last Name

FISHMAN

Business Name

IVY K FISHMAN

Original Issue Date

04/30/1999

Effective Date

01/05/2001

Expiration Date

04/30/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2005