KEITH A STOHLGREN - Nursing Home Administrator License in Illinois | # 044005633

KEITH A STOHLGREN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005633

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

A

Last Name

STOHLGREN

Business Name

KEITH A STOHLGREN

Original Issue Date

04/08/1999

Effective Date

10/16/2017

Expiration Date

11/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020