KEVIN C HENRICKS - Nursing Home Administrator License in Illinois | # 045002615

KEVIN C HENRICKS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002615

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

C

Last Name

HENRICKS

Business Name

KEVIN C HENRICKS

Original Issue Date

05/27/1999

Effective Date

01/05/2001

Expiration Date

05/27/2000

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005