CHAD D BERCK - Nursing Home Administrator License in Illinois | # 045002901

CHAD D BERCK

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002901

License Status

CANCELLED

Business

N

First Name

CHAD

Middle

D

Last Name

BERCK

Business Name

CHAD D BERCK

Original Issue Date

10/11/2002

Effective Date

05/28/2004

Expiration Date

10/11/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005