Wallace H Granstrom
InactiveIllinois license 044001524
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001524
- Status
- Inactive
- First issued
- September 21, 1976
- Expired
- November 30, 1987
- License holder
- Wallace H Granstrom
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Salinas, CA 93908
California County