MATTHEW R CARLSON - Nursing Home Administrator License in Illinois | # 045003476

MATTHEW R CARLSON

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003476

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

R

Last Name

CARLSON

Business Name

MATTHEW R CARLSON

Original Issue Date

03/12/2010

Effective Date

03/12/2010

Expiration Date

03/12/2011

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018