MARC STEVEN GONZALES LOZADA Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002894

License Status

CANCELLED

Business

First Name

MARC STEVEN

Middle

GONZALES

Last Name

LOZADA

Business Name

MARC STEVEN GONZALES LOZADA

Original Issue Date

09/20/2002

Effective Date

05/28/2004

Expiration Date

09/20/2003

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005