DIANA G PORTER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003055

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

PORTER

Business Name

DIANA G PORTER

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

11/30/2005

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/31/2005