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
LAST UPDATED 2026-07-06 07:24:25 UTC
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