EUGENE HUMPHREY III - Nursing Home Administrator License in Illinois | # 045002270

EUGENE HUMPHREY III

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002270

License Status

NOT RENEWED

Business

N

First Name

EUGENE

Last Name

HUMPHREY III

Business Name

EUGENE HUMPHREY III

Original Issue Date

10/13/1994

Expiration Date

05/24/1996

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005