MARK BLACK - Nursing Home Administrator License in Illinois | # 045001435

MARK BLACK

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001435

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

BLACK

Business Name

MARK BLACK

Original Issue Date

09/19/1986

Expiration Date

08/14/1987

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005