JO ANN DE PERGOLA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002686

License Status

INACTIVE

Business

First Name

JO ANN

Last Name

DE PERGOLA

Business Name

JO ANN DE PERGOLA

Original Issue Date

03/01/1983

Expiration Date

11/30/1991

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

07/17/2007