RONALD H DALLSTREAM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002298

License Status

NOT RENEWED

Business

First Name

RONALD H

Last Name

DALLSTREAM

Business Name

RONALD H DALLSTREAM

Original Issue Date

03/09/1995

Expiration Date

01/16/1996

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/31/2005