GARY W AMBERSON - Nursing Home Administrator License in Illinois | # 045002516

GARY W AMBERSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002516

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

W

Last Name

AMBERSON

Business Name

GARY W AMBERSON

Original Issue Date

12/29/1997

Expiration Date

11/16/1998

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005