Paul D Gustafson
ExpiredIllinois license 045001879
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045001879
- Status
- Expired (Not Renewed)
- First issued
- May 25, 1990
- Expired
- July 20, 1991
- License holder
- Paul D Gustafson
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
Contact
Urbana, IL 61801
Champaign County