BERTRAM B MOSS - Nursing Home Administrator License in Illinois | # 044000948

BERTRAM B MOSS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000948

License Status

NOT RENEWED

Business

N

First Name

BERTRAM B

Last Name

MOSS

Business Name

BERTRAM B MOSS

Original Issue Date

12/06/1972

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005