Thomas W Booth
InactiveIllinois license 044001113
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001113
- Status
- Inactive
- First issued
- March 12, 1974
- Expired
- November 30, 1995
- License holder
- Thomas W Booth
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Decatur, IL 62526
Macon County