EDNA L LOPEZ Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003180

License Status

EXPIRED

Business

First Name

EDNA

Middle

Last Name

LOPEZ

Business Name

EDNA L LOPEZ

Original Issue Date

08/29/2006

Effective Date

08/29/2006

Expiration Date

11/22/2007

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018