THERESA A LEE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002715

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

LEE

Business Name

THERESA A LEE

Original Issue Date

09/07/2000

Effective Date

10/25/2001

Expiration Date

07/31/2001

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/31/2005