GARY E LARSON - Nursing Home Administrator License in Illinois | # 045002303

GARY E LARSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002303

License Status

NOT RENEWED

Business

N

First Name

GARY E

Last Name

LARSON

Business Name

GARY E LARSON

Original Issue Date

04/06/1995

Expiration Date

04/05/1996

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005