Kevin R Goodrum
ExpiredIllinois license 045001730
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045001730
- Status
- Expired (Not Renewed)
- First issued
- April 12, 1989
- Expired
- April 12, 1990
- License holder
- Kevin R Goodrum
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 01/01/1998
Other Illinois licenses under this name
-
IL
ExpiredPetersburg, ILExpired Nov 30, 1993
Contact
Petersburg, IL 62675
Menard County