THEODORE NELSON MANGNER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000791

License Status

NOT RENEWED

Business

First Name

THEODORE NELSON

Last Name

MANGNER

Business Name

THEODORE NELSON MANGNER

Original Issue Date

03/16/1972

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/27/2005