Ashton C Waller
ExpiredIllinois license 044001120
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001120
- Status
- Expired (Not Renewed)
- First issued
- March 12, 1974
- License holder
- Ashton C Waller
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Anna, IL 62906
Union County