CLAYTON MICHAEL NIEMAN - Nursing Home Administrator License in Illinois | # 045003546

CLAYTON MICHAEL NIEMAN

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003546

License Status

EXPIRED

Business

N

First Name

CLAYTON

Middle

MICHAEL

Last Name

NIEMAN

Business Name

CLAYTON MICHAEL NIEMAN

Original Issue Date

12/16/2010

Effective Date

12/16/2010

Expiration Date

12/16/2011

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018