KENNETH L CANNON - Nursing Home Administrator License in Illinois | # 044004016

KENNETH L CANNON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004016

License Status

NOT RENEWED

Business

N

First Name

KENNETH L

Last Name

CANNON

Business Name

KENNETH L CANNON

Original Issue Date

10/27/1990

Effective Date

01/14/2004

Expiration Date

11/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005