THEODORE L O'BRIEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003045

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

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

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006