BRIAN DALE ZALETEL Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003641

License Status

CANCELLED

Business

First Name

BRIAN

Middle

DALE

Last Name

ZALETEL

Business Name

BRIAN DALE ZALETEL

Original Issue Date

03/14/2012

Effective Date

02/25/2012

Expiration Date

02/24/2013

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

03/14/2012