SAMUEL E BALL - Nursing Home Administrator License in Illinois | # 045002853

SAMUEL E BALL

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002853

License Status

CANCELLED

Business

N

First Name

SAMUEL

Middle

E

Last Name

BALL

Business Name

SAMUEL E BALL

Original Issue Date

03/22/2002

Effective Date

05/28/2004

Expiration Date

01/28/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005