GLENN B BRICHACEK - Nursing Home Administrator License in Illinois | # 045002879

GLENN B BRICHACEK

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002879

License Status

CANCELLED

Business

N

First Name

GLENN

Middle

B

Last Name

BRICHACEK

Business Name

GLENN B BRICHACEK

Original Issue Date

07/01/2002

Effective Date

05/28/2004

Expiration Date

07/01/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005