SUZANNE E EGAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003114

License Status

EXPIRED

Business

First Name

SUZANNE

Middle

Last Name

EGAN

Business Name

SUZANNE E EGAN

Original Issue Date

11/10/2005

Effective Date

11/10/2005

Expiration Date

02/22/2007

City

AMBOY

State

Zip

61310

County

LEE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018