DAVID J LANE - Nursing Home Administrator License in Illinois | # 045004294

DAVID J LANE

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004294

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

J

Last Name

LANE

Business Name

DAVID J LANE

Original Issue Date

10/16/2020

Effective Date

10/16/2020

Expiration Date

10/16/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022