DAVID L ERICSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004725

License Status

INACTIVE

Business

First Name

DAVID L

Last Name

ERICSON

Business Name

DAVID L ERICSON

Original Issue Date

06/10/1994

Expiration Date

11/30/1997

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/27/2005