STEPHEN NUSSBAUM - Nursing Home Administrator License in Illinois | # 045002104

STEPHEN NUSSBAUM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002104

License Status

NOT RENEWED

Business

N

First Name

STEPHEN

Last Name

NUSSBAUM

Business Name

STEPHEN NUSSBAUM

Original Issue Date

07/23/1992

Expiration Date

06/12/1993

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005