TERESA KATHLEEN DOMINICK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002087

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

KATHLEEN

Last Name

DOMINICK

Prefix

Business Name

TERESA KATHLEEN DOMINICK

Original Issue Date

09/21/1979

Effective Date

09/26/2011

Expiration Date

11/30/2013

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/19/2014