DAVID D VANGIESEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001659

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

VANGIESEN

Business Name

DAVID D VANGIESEN

Original Issue Date

10/06/1988

Expiration Date

10/06/1989

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2005