CHRISTINA PROVIDO Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004402

License Status

INACTIVE

Business

First Name

CHRISTINA

Last Name

PROVIDO

Business Name

CHRISTINA PROVIDO

Original Issue Date

12/21/2021

Effective Date

12/21/2021

Expiration Date

12/21/2022

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

12/21/2021