DAVID R HAM - Nursing Home Administrator License in Illinois | # 045001786

DAVID R HAM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001786

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

R

Last Name

HAM

Business Name

DAVID R HAM

Original Issue Date

08/22/1989

Expiration Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005