PEGGY A LARVICK - Nursing Home Administrator License in Illinois | # 045003003

PEGGY A LARVICK

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003003

License Status

NOT RENEWED

Business

N

First Name

PEGGY

Middle

A

Last Name

LARVICK

Business Name

PEGGY A LARVICK

Original Issue Date

02/25/2004

Effective Date

04/04/2005

Expiration Date

02/25/2005

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005