DALE RUSSELL SEVERIN - Nursing Home Administrator License in Illinois | # 044002056

DALE RUSSELL SEVERIN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002056

License Status

NOT RENEWED

Business

N

First Name

DALE RUSSELL

Last Name

SEVERIN

Business Name

DALE RUSSELL SEVERIN

Original Issue Date

05/30/1979

Expiration Date

11/30/1993

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005