RANDALL L BAUER - Nursing Home Administrator License in Illinois | # 045002883

RANDALL L BAUER

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002883

License Status

EXPIRED

Business

N

First Name

RANDALL

Middle

L

Last Name

BAUER

Business Name

RANDALL L BAUER

Original Issue Date

07/24/2002

Effective Date

09/23/2004

Expiration Date

07/24/2004

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018