MA LOURDES VAGILIDAD BUENO Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002893

License Status

CANCELLED

Business

First Name

MA LOURDES

Middle

VAGILIDAD

Last Name

BUENO

Business Name

MA LOURDES VAGILIDAD BUENO

Original Issue Date

09/20/2002

Effective Date

05/28/2004

Expiration Date

09/20/2003

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/31/2005