KEITH A STOHLGREN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005633

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

STOHLGREN

Business Name

KEITH A STOHLGREN

Original Issue Date

04/08/1999

Effective Date

10/16/2017

Expiration Date

11/30/2019

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/23/2020