DANA J WIKSTROM - Nursing Home Administrator License in Illinois | # 044010767

DANA J WIKSTROM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010767

License Status

NOT RENEWED

Business

N

First Name

DANA

Middle

J

Last Name

WIKSTROM

Business Name

DANA J WIKSTROM

Original Issue Date

09/06/2011

Effective Date

11/19/2015

Expiration Date

11/30/2017

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018