EDWIN T MULDER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001427

License Status

NOT RENEWED

Business

First Name

EDWIN T

Last Name

MULDER

Business Name

EDWIN T MULDER

Original Issue Date

09/02/1986

Expiration Date

09/01/1987

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005