KIMBERLY SEVERSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003736

License Status

CANCELLED

Business

First Name

KIMBERLY

Last Name

SEVERSON

Business Name

KIMBERLY SEVERSON

Original Issue Date

07/22/2013

Effective Date

07/22/2013

Expiration Date

07/22/2014

City

JOLIET

State

Zip

60432

County

WILL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

07/22/2013