Nicole R Mountain
ExpiredIllinois license 045001911
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045001911
- Status
- Expired (Not Renewed)
- First issued
- August 14, 1990
- Expired
- August 13, 1991
- License holder
- Nicole R Mountain
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
Contact
Pittsfield, IL 62363
Pike County