MAHLON R DAVID - Nursing Home Administrator License in Illinois | # 045001525

MAHLON R DAVID

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001525

License Status

NOT RENEWED

Business

N

First Name

MAHLON R

Last Name

DAVID

Business Name

MAHLON R DAVID

Original Issue Date

08/22/1987

Expiration Date

08/21/1988

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005