DOUGLAS D CARLSON - Nursing Home Administrator License in Illinois | # 045002251

DOUGLAS D CARLSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002251

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

D

Last Name

CARLSON

Business Name

DOUGLAS D CARLSON

Original Issue Date

08/08/1994

Expiration Date

08/05/1995

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005