ASHTON C WALLER - Nursing Home Administrator License in Illinois | # 044001120

ASHTON C WALLER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001120

License Status

NOT RENEWED

Business

N

First Name

ASHTON C

Last Name

WALLER

Business Name

ASHTON C WALLER

Original Issue Date

03/12/1974

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005