RICKY L WALWORTH - Nursing Home Administrator License in Illinois | # 045002467

RICKY L WALWORTH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002467

License Status

NOT RENEWED

Business

N

First Name

RICKY

Middle

L

Last Name

WALWORTH

Business Name

RICKY L WALWORTH

Original Issue Date

06/02/1997

Expiration Date

08/20/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005