THOMAS G ANSELM - Nursing Home Administrator License in Illinois | # 045001841

THOMAS G ANSELM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001841

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

G

Last Name

ANSELM

Business Name

THOMAS G ANSELM

Original Issue Date

01/25/1990

Expiration Date

01/19/1991

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005