Ardis I Henerfauth
ExpiredIllinois license 045002525
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045002525
- Status
- Expired (Not Renewed)
- First issued
- February 5, 1998
- Expired
- January 17, 1999
- License holder
- Ardis I Henerfauth
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
Contact
Waterloo, IL 62298
Monroe County