THOMAS J LARSON - Nursing Home Administrator License in Illinois | # 045001637

THOMAS J LARSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001637

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

J

Last Name

LARSON

Business Name

THOMAS J LARSON

Original Issue Date

07/25/1988

Expiration Date

07/22/1989

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005