ILLINOIS DEPT OF PUBLIC AID Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

APPROVED NURSING HOME ADMINISTRATOR CONTINUING EDUCATION SPONSOR

License Number

139000055

License Status

NOT RENEWED

Business

Business Name

ILLINOIS DEPT OF PUBLIC AID

Original Issue Date

10/23/1990

Effective Date

12/09/2004

Expiration Date

11/30/2005

City

SPRINGFIELD

State

Zip

62763

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2006