Travis W Lane
ExpiredIllinois license 045004070
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004070
- Status
- Expired
- First issued
- November 30, 2017
- Expired
- January 3, 2020
- License holder
- Travis W Lane
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 01/03/2019
Contact
Eldorado, IL 62930
Saline County