GLENN R BLACKLOCK - Nursing Home Administrator License in Illinois | # 044005176

GLENN R BLACKLOCK

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005176

License Status

NOT RENEWED

Business

N

First Name

GLENN R

Last Name

BLACKLOCK

Business Name

GLENN R BLACKLOCK

Original Issue Date

09/12/1996

Effective Date

11/23/2015

Expiration Date

11/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018