MICHAEL J DAVIS - Nursing Home Administrator License in Illinois | # 045002050

MICHAEL J DAVIS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002050

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

J

Last Name

DAVIS

Business Name

MICHAEL J DAVIS

Original Issue Date

12/11/1991

Expiration Date

12/10/1992

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005