MONICA A RUSBOLDT Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004232

License Status

CANCELLED

Business

First Name

MONICA

Middle

Last Name

RUSBOLDT

Business Name

MONICA A RUSBOLDT

Original Issue Date

12/05/2019

Effective Date

12/05/2019

Expiration Date

12/05/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2019