DOROTHEA B MARTIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002758

License Status

NOT RENEWED

Business

First Name

DOROTHEA

Middle

Last Name

MARTIN

Business Name

DOROTHEA B MARTIN

Original Issue Date

02/28/2001

Effective Date

06/13/2002

Expiration Date

12/04/2001

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/11/2005