Jack R Martin
ExpiredIllinois license 045001697
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045001697
- Status
- Expired (Not Renewed)
- First issued
- December 30, 1988
- Expired
- December 30, 1989
- License holder
- Jack R Martin
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
Contact
Fairfield, IL 62837
Wayne County