ELSIE L DE WALL Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004693

License Status

INACTIVE

Business

First Name

ELSIE L

Last Name

DE WALL

Business Name

ELSIE L DE WALL

Original Issue Date

03/05/1994

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/05/2007