RUSSELL W TERRILL Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002876

License Status

CANCELLED

Business

First Name

RUSSELL

Middle

Last Name

TERRILL

Business Name

RUSSELL W TERRILL

Original Issue Date

06/14/2002

Effective Date

05/28/2004

Expiration Date

06/14/2003

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/31/2005