ELIJAH DAVID HEYBOER - Nursing Home Administrator License in Illinois | # 045004326

ELIJAH DAVID HEYBOER

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004326

License Status

EXPIRED

Business

N

First Name

ELIJAH

Middle

DAVID

Last Name

HEYBOER

Business Name

ELIJAH DAVID HEYBOER

Original Issue Date

01/21/2021

Effective Date

01/21/2021

Expiration Date

01/21/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022