Dale Russell Severin
ExpiredIllinois license 044002056
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044002056
- Status
- Expired (Not Renewed)
- First issued
- May 30, 1979
- Expired
- November 30, 1993
- License holder
- Dale Russell Severin
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
West Frankfort, IL 62896
Franklin County