RANDOLPH H COOPER - Nursing Home Administrator License in Illinois | # 044006342

RANDOLPH H COOPER

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006342

License Status

INACTIVE

Business

N

First Name

RANDOLPH

Middle

H

Last Name

COOPER

Business Name

RANDOLPH H COOPER

Original Issue Date

10/07/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2009