JOSHUA D GOLDBERG - Nursing Home Administrator License in Illinois | # 044010801

JOSHUA D GOLDBERG

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010801

License Status

NOT RENEWED

Business

N

First Name

JOSHUA

Middle

D

Last Name

GOLDBERG

Business Name

JOSHUA D GOLDBERG

Original Issue Date

12/12/2011

Effective Date

12/12/2011

Expiration Date

11/30/2013

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

02/19/2014