ARDIS I HENERFAUTH - Nursing Home Administrator License in Illinois | # 045002525

ARDIS I HENERFAUTH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002525

License Status

NOT RENEWED

Business

N

First Name

ARDIS

Middle

I

Last Name

HENERFAUTH

Business Name

ARDIS I HENERFAUTH

Original Issue Date

02/05/1998

Expiration Date

01/17/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005