KIM P BLACK - Nursing Home Administrator License in Illinois | # 045001551

KIM P BLACK

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001551

License Status

NOT RENEWED

Business

N

First Name

KIM P

Last Name

BLACK

Business Name

KIM P BLACK

Original Issue Date

10/19/1987

Expiration Date

10/01/1988

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005