RONALD H DALLSTREAM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005042

License Status

NOT RENEWED

Business

First Name

RONALD H

Last Name

DALLSTREAM

Business Name

RONALD H DALLSTREAM

Original Issue Date

02/08/1996

Effective Date

11/15/2017

Expiration Date

11/30/2019

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

01/23/2020