ROBERT E EGILSRUD - Nursing Home Administrator License in Illinois | # 045003264

ROBERT E EGILSRUD

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003264

License Status

NOT RENEWED

Business

N

First Name

ROBERT

Middle

E

Last Name

EGILSRUD

Business Name

ROBERT E EGILSRUD

Original Issue Date

06/29/2007

Effective Date

06/29/2007

Expiration Date

06/29/2008

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

04/08/2009