Stephen R Malcolm
ExpiredIllinois license 044002884
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044002884
- Status
- Expired (Not Renewed)
- First issued
- May 29, 1984
- Expired
- November 30, 1987
- License holder
- Stephen R Malcolm
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Round Lake Park, IL 60073
Lake County