KEVIN R GOODRUM - Nursing Home Administrator License in Illinois | # 044003813

KEVIN R GOODRUM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003813

License Status

NOT RENEWED

Business

N

First Name

KEVIN R

Last Name

GOODRUM

Business Name

KEVIN R GOODRUM

Original Issue Date

11/28/1989

Expiration Date

11/30/1993

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005