CRAVEN GLENN FORD - Nursing Home Administrator License in Illinois | # 045003583

CRAVEN GLENN FORD

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003583

License Status

EXPIRED

Business

N

First Name

CRAVEN

Middle

GLENN

Last Name

FORD

Business Name

CRAVEN GLENN FORD

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

07/06/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018