Kathryn A Blackwell
InactiveIllinois license 044001101
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001101
- Status
- Inactive
- First issued
- March 12, 1974
- Expired
- November 30, 1989
- License holder
- Kathryn A Blackwell
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Xenia, IL 62899
Clay County