SALLY M MACHETTA Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003265

License Status

CANCELLED

Business

First Name

SALLY

Middle

Last Name

MACHETTA

Business Name

SALLY M MACHETTA

Original Issue Date

06/29/2007

Effective Date

06/29/2007

Expiration Date

06/29/2008

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

06/29/2007