MARY L CLAUSSEN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002803

License Status

CANCELLED

Business

First Name

MARY

Middle

Last Name

CLAUSSEN

Business Name

MARY L CLAUSSEN

Original Issue Date

08/16/2001

Effective Date

05/28/2004

Expiration Date

07/01/2003

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2005