COLLEEN M BOTTENS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003001

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

BOTTENS

Business Name

COLLEEN M BOTTENS

Original Issue Date

02/25/2004

Effective Date

04/04/2005

Expiration Date

02/25/2005

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005