STEPHANIE R DIMITRENKO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002870

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

DIMITRENKO

Business Name

STEPHANIE R DIMITRENKO

Original Issue Date

06/03/2002

Effective Date

01/21/2004

Expiration Date

06/03/2003

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/11/2005