LEROY J COOPER - Nursing Home Administrator License in Illinois | # 045001765

LEROY J COOPER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001765

License Status

NOT RENEWED

Business

N

First Name

LEROY

Middle

J

Last Name

COOPER

Business Name

LEROY J COOPER

Original Issue Date

07/01/1989

Expiration Date

04/13/1990

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005