MARK A BERG - Nursing Home Administrator License in Illinois | # 045002855

MARK A BERG

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002855

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

A

Last Name

BERG

Business Name

MARK A BERG

Original Issue Date

04/08/2002

Effective Date

06/13/2002

Expiration Date

04/08/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005