MICHAEL L STOUDT - Nursing Home Administrator License in Illinois | # 045003033

MICHAEL L STOUDT

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003033

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

L

Last Name

STOUDT

Business Name

MICHAEL L STOUDT

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

07/12/2005

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018