DORRAINE J MCCULLOUGH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003445

License Status

EXPIRED

Business

First Name

DORRAINE

Middle

Last Name

MCCULLOUGH

Business Name

DORRAINE J MCCULLOUGH

Original Issue Date

09/29/2009

Effective Date

10/01/2009

Expiration Date

10/01/2010

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018