STACY J B GORDON - Nursing Home Administrator License in Illinois | # 045001785

STACY J B GORDON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001785

License Status

NOT RENEWED

Business

N

First Name

STACY J B

Last Name

GORDON

Business Name

STACY J B GORDON

Original Issue Date

08/22/1989

Expiration Date

08/21/1990

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005