DALLAS K LARSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001691

License Status

NOT RENEWED

Business

First Name

DALLAS K

Last Name

LARSON

Business Name

DALLAS K LARSON

Original Issue Date

12/27/1988

Expiration Date

12/23/1989

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/31/2005