JERRY CHARLES MITVALSKY - Nursing Home Administrator License in Illinois | # 044001406

JERRY CHARLES MITVALSKY

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001406

License Status

INACTIVE

Business

N

First Name

JERRY CHARLES

Last Name

MITVALSKY

Business Name

JERRY CHARLES MITVALSKY

Original Issue Date

04/08/1976

Expiration Date

11/30/1987

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005