SUSAN K SOUTH - Nursing Home Administrator License in Illinois | # 045002032

SUSAN K SOUTH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002032

License Status

NOT RENEWED

Business

N

First Name

SUSAN K

Last Name

SOUTH

Business Name

SUSAN K SOUTH

Original Issue Date

09/24/1991

Expiration Date

09/24/1992

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005