DALLAS K LARSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003664

License Status

INACTIVE

Business

First Name

DALLAS K

Last Name

LARSON

Business Name

DALLAS K LARSON

Original Issue Date

05/19/1989

Effective Date

10/14/2003

Expiration Date

11/30/2005

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/11/2005