LUZ M RIVERA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006208

License Status

NOT RENEWED

Business

First Name

LUZ

Middle

Last Name

RIVERA

Business Name

LUZ M RIVERA

Original Issue Date

06/23/2003

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

LAKE STATION

State

Zip

46405

Ever Disciplined

LastModifiedDate

01/23/2020