MICHAEL J RANGE - Nursing Home Administrator License in Illinois | # 045002797

MICHAEL J RANGE

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002797

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

J

Last Name

RANGE

Business Name

MICHAEL J RANGE

Original Issue Date

07/25/2001

Effective Date

12/03/2002

Expiration Date

07/12/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005