Douglas R Klaska
ExpiredIllinois license 045004213
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004213
- Status
- Expired
- First issued
- September 26, 2019
- Expired
- November 17, 2021
- License holder
- Douglas R Klaska
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 11/17/2020
Contact
Decatur, IL 62521
Macon County