License holder summary

LILLIAN LICARDO RUIVIVAR is a Nursing Home Administrator licensed to practice in Pennsylvania. The address on file for LILLIAN LICARDO RUIVIVAR is ROSLYN PA 19001. This licensed professional license is not current. The license was granted 09/26/2001 and expired on 06/30/2012.

Pennsylvania

Department of State

LILLIAN LICARDO RUIVIVAR
Nursing Home Administrator
License number
NH005310
Date granted
09/26/2001
Date expires
06/30/2012
Class
Nursing Home Administrator
Status
Expired
Address
ROSLYN PA 19001
palicensing.org
ID 16917699
LAST UPDATED 2026-07-06 07:24:25 UTC

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