RAPHAEL Y ZIMMERMAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003164

License Status

EXPIRED

Business

First Name

RAPHAEL

Middle

Last Name

ZIMMERMAN

Business Name

RAPHAEL Y ZIMMERMAN

Original Issue Date

07/12/2006

Effective Date

07/12/2006

Expiration Date

07/12/2007

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018