TERENCE T MAMBORT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003009

License Status

NOT RENEWED

Business

First Name

TERENCE

Middle

Last Name

MAMBORT

Business Name

TERENCE T MAMBORT

Original Issue Date

03/09/2004

Effective Date

05/02/2005

Expiration Date

03/09/2005

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/31/2005