MATTHEW R CARLSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003476

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

CARLSON

Business Name

MATTHEW R CARLSON

Original Issue Date

03/12/2010

Effective Date

03/12/2010

Expiration Date

03/12/2011

City

RICHTON PARK

State

Zip

60471

County

COOK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018