BLAINE S FOX - Nursing Home Administrator License in Illinois | # 044002577

BLAINE S FOX

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002577

License Status

NOT RENEWED

Business

N

First Name

BLAINE S

Last Name

FOX

Business Name

BLAINE S FOX

Original Issue Date

10/04/1982

Expiration Date

11/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005