MICHAEL L STOUDT Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003033

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

STOUDT

Business Name

MICHAEL L STOUDT

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

07/12/2005

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018