RAYMOND B FRESON JR Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003931

License Status

CANCELLED

Business

First Name

RAYMOND

Middle

Last Name

FRESON

Suffix

Business Name

RAYMOND B FRESON JR

Original Issue Date

04/13/2016

Effective Date

04/13/2016

Expiration Date

04/13/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

04/13/2016