ETHEL Z LOGUE

Business Entity
NOT RENEWED

Nursing Home Administrator

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

045002605

NOT RENEWED

N

ETHEL

Z

LOGUE

ETHEL Z LOGUE

03/23/1999

04/12/2001

02/25/2001

TOULON

IL

61483

STARK

N

05/31/2005