MARK D RICHARDSON - Nursing Home Administrator License in Illinois | # 045001441

MARK D RICHARDSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001441

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

D

Last Name

RICHARDSON

Business Name

MARK D RICHARDSON

Original Issue Date

09/19/1986

Expiration Date

08/08/1987

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005