AMY D WALLACE Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003788

License Status

CANCELLED

Business

First Name

AMY

Middle

Last Name

WALLACE

Business Name

AMY D WALLACE

Original Issue Date

03/12/2014

Effective Date

03/10/2015

Expiration Date

03/12/2016

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/12/2014