Blaine S Fox
ExpiredIllinois license 044002577
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044002577
- Status
- Expired (Not Renewed)
- First issued
- October 4, 1982
- Expired
- November 30, 1999
- License holder
- Blaine S Fox
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Shannon, IL 61078
Carroll County