THEODORE IVAN MARCUS - Nursing Home Administrator License in Illinois | # 045003716

THEODORE IVAN MARCUS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003716

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

IVAN

Last Name

MARCUS

Business Name

THEODORE IVAN MARCUS

Original Issue Date

04/11/2013

Effective Date

04/11/2014

Expiration Date

04/11/2015

State

IL

Ever Disciplined

N

LastModifiedDate

01/07/2016