ROGER D ADDISON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002717

License Status

INACTIVE

Business

First Name

ROGER D

Last Name

ADDISON

Business Name

ROGER D ADDISON

Original Issue Date

07/07/1983

Expiration Date

11/30/1993

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/27/2005