License Information
License Number
044000735Business Name
FLEETA MATTESLicense Type
NURSING HOME ADMINOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
VANDALIAState
ILCounty
FAYETTEPost
62471Update Date
2023-12-24Business
NExpiration Date
11/30/1983Ever Disciplined
NLastModifiedDate
05/27/2005Registered Location
Peripheral Licensees
- RICHARD M GOVAIA VANDALIA, IL 62471
- VIVIAN DORIS POWERS VANDALIA, IL 62471
- GOLDIA A JONES VANDALIA, IL 62471
- EDNA L JETT VANDALIA, IL 62471
- ETHAN NELSON JONES VANDALIA, IL 62471
- CONFIDENCE MEDICAL ASSOCIATES LTD VANDALIA, IL 62471
- TAMMY B WOOLSEY VANDALIA, IL 62471
- MARIE V DEAN VANDALIA, IL 62471
- MARISA HENNA VANDALIA, IL 62471
- TELISA S NANCE VANDALIA, IL 62471