GREG S ENGSTROM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006385

License Status

NOT RENEWED

Business

First Name

GREG

Middle

Last Name

ENGSTROM

Business Name

GREG S ENGSTROM

Original Issue Date

02/02/2005

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

01/04/2008