DANA J WIKSTROM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010767

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

WIKSTROM

Business Name

DANA J WIKSTROM

Original Issue Date

09/06/2011

Effective Date

11/19/2015

Expiration Date

11/30/2017

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018