Russell Wayne Tolliver
ExpiredIllinois license 045004325
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004325
- Status
- Expired
- First issued
- January 19, 2021
- Expired
- January 19, 2022
- License holder
- Russell Wayne Tolliver
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 01/19/2021
Contact
White Hall, IL 62092
Adams County