BRIAN W ANDERSON - Nursing Home Administrator License in Illinois | # 045003742

BRIAN W ANDERSON

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003742

License Status

CANCELLED

Business

N

First Name

BRIAN

Middle

W

Last Name

ANDERSON

Business Name

BRIAN W ANDERSON

Original Issue Date

08/30/2013

Effective Date

08/30/2013

Expiration Date

08/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/13/2015