Mignon E Goodpasture
InactiveIllinois license 044005552
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044005552
- Status
- Inactive
- First issued
- December 3, 1998
- Expired
- November 30, 2007
- License holder
- Mignon E Goodpasture
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 12/01/2005
Contact
Concord, IL 62631
Morgan County