THEODORE L O'BRIEN - Nursing Home Administrator License in Illinois | # 045003045

THEODORE L O'BRIEN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003045

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

L

Last Name

O'BRIEN

Business Name

THEODORE L O'BRIEN

Original Issue Date

10/01/2004

Effective Date

11/02/2005

Expiration Date

10/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006