HAROLD D WILSON - Nursing Home Administrator License in Illinois | # 045002904

HAROLD D WILSON

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002904

License Status

CANCELLED

Business

N

First Name

HAROLD

Middle

D

Last Name

WILSON

Business Name

HAROLD D WILSON

Original Issue Date

10/16/2002

Effective Date

05/28/2004

Expiration Date

10/16/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005