THOMAS D DEFAUW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002770

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

DEFAUW

Business Name

THOMAS D DEFAUW

Original Issue Date

03/30/2001

Effective Date

10/25/2001

Expiration Date

06/17/2001

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/31/2005