LETHA M DOLPH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003446

License Status

EXPIRED

Business

First Name

LETHA

Middle

Last Name

DOLPH

Business Name

LETHA M DOLPH

Original Issue Date

09/29/2009

Effective Date

09/30/2009

Expiration Date

09/30/2010

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018