Morris Fredrick Forman
InactiveIllinois license 044000595
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044000595
- Status
- Inactive
- Expired
- November 30, 1995
- License holder
- Morris Fredrick Forman
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Amboy, IL 61310
Lee County