TERESA BLAIR Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002757

License Status

CANCELLED

Business

First Name

TERESA

Last Name

BLAIR

Business Name

TERESA BLAIR

Original Issue Date

02/28/2001

Effective Date

05/28/2004

Expiration Date

02/04/2003

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005