DALLAS K LARSON - Nursing Home Administrator License in Illinois | # 045001691

DALLAS K LARSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001691

License Status

NOT RENEWED

Business

N

First Name

DALLAS K

Last Name

LARSON

Business Name

DALLAS K LARSON

Original Issue Date

12/27/1988

Expiration Date

12/23/1989

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005