NICOLE M ENVERGA Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004157

License Status

EXPIRED

Business

First Name

NICOLE

Middle

Last Name

ENVERGA

Business Name

NICOLE M ENVERGA

Original Issue Date

01/24/2019

Effective Date

01/01/2019

Expiration Date

01/01/2020

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/05/2020