MARK CLINTON MIRON - Nursing Home Administrator License in Illinois | # 045003855

MARK CLINTON MIRON

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003855

License Status

CANCELLED

Business

N

First Name

MARK

Middle

CLINTON

Last Name

MIRON

Business Name

MARK CLINTON MIRON

Original Issue Date

06/15/2015

Effective Date

06/15/2015

Expiration Date

06/15/2016

State

IL

Ever Disciplined

N

LastModifiedDate

06/11/2015