James M Formal
ExpiredIllinois license 044004919
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044004919
- Status
- Expired (Not Renewed)
- First issued
- June 22, 1995
- Expired
- November 30, 2003
- License holder
- James M Formal
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 01/14/2004
Contact
Wheaton, IL 60187
Dupage County