ERIC J GUSTAFSON - Nursing Home Administrator License in Illinois | # 044003768

ERIC J GUSTAFSON

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003768

License Status

INACTIVE

Business

N

First Name

ERIC J

Last Name

GUSTAFSON

Business Name

ERIC J GUSTAFSON

Original Issue Date

10/31/1989

Expiration Date

11/30/1995

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005