Autumn Nicole Clark
ExpiredIllinois license 045004187
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004187
- Status
- Expired
- First issued
- June 17, 2019
- Expired
- June 17, 2020
- License holder
- Autumn Nicole Clark
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 06/17/2019
Contact
Mc Leansboro, IL 62859
Hamilton County