PEGGY A LARVICK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003003

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

Last Name

LARVICK

Business Name

PEGGY A LARVICK

Original Issue Date

02/25/2004

Effective Date

04/04/2005

Expiration Date

02/25/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2005