CAROLYN D LEYVA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002700

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

LEYVA

Business Name

CAROLYN D LEYVA

Original Issue Date

06/22/2000

Effective Date

10/25/2001

Expiration Date

06/01/2001

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/31/2005