Evanna Lee Andersen
InactiveIllinois license 044001720
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001720
- Status
- Inactive
- First issued
- August 24, 1977
- Expired
- November 30, 1991
- License holder
- Evanna Lee Andersen
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Peoria, IL 61615
Peoria County