GILBERT W FONGER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004122

License Status

EXPIRED

Business

First Name

GILBERT

Middle

Last Name

FONGER

Business Name

GILBERT W FONGER

Original Issue Date

08/20/2018

Effective Date

08/20/2018

Expiration Date

08/20/2019

City

GURNEE

State

Zip

60134

Ever Disciplined

LastModifiedDate

12/30/2019