Basil Lloyd Humphrey
ExpiredIllinois license 044001401
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001401
- Status
- Expired (Not Renewed)
- First issued
- April 8, 1976
- License holder
- Basil Lloyd Humphrey
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Springfield, IL 62704
Sangamon County