W DAVE WILLIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002380

License Status

INACTIVE

Business

First Name

W DAVE

Last Name

WILLIS

Business Name

W DAVE WILLIS

Original Issue Date

05/29/1981

Expiration Date

11/30/1985

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/27/2005