DIANE M CUSHMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002627

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

CUSHMAN

Business Name

DIANE M CUSHMAN

Original Issue Date

07/20/1999

Effective Date

01/05/2001

Expiration Date

07/20/2000

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/31/2005