ANNA KAROLINA KACZOR Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004123

License Status

EXPIRED

Business

First Name

ANNA

Middle

KAROLINA

Last Name

KACZOR

Business Name

ANNA KAROLINA KACZOR

Original Issue Date

08/20/2018

Effective Date

09/03/2019

Expiration Date

09/03/2020

City

CRESTWOOD

State

Zip

60418

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020