Thomas W Long
InactiveIllinois license 044001693
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001693
- Status
- Inactive
- First issued
- June 13, 1977
- Expired
- November 30, 1985
- License holder
- Thomas W Long
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Wheaton, IL 60187
Dupage County