ROBERTA L CAMACHO Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003310

License Status

EXPIRED

Business

First Name

ROBERTA

Middle

Last Name

CAMACHO

Business Name

ROBERTA L CAMACHO

Original Issue Date

01/15/2008

Effective Date

01/15/2008

Expiration Date

01/15/2009

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018