JOHN PHILLIP FORNERIS - Nursing Home Administrator License in Illinois | # 044002404

JOHN PHILLIP FORNERIS

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002404

License Status

INACTIVE

Business

N

First Name

JOHN PHILLIP

Last Name

FORNERIS

Business Name

JOHN PHILLIP FORNERIS

Original Issue Date

09/04/1981

Expiration Date

11/30/1987

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005