ALAN BLUM - Nursing Home Administrator License in Illinois | # 045003054

ALAN BLUM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003054

License Status

NOT RENEWED

Business

N

First Name

ALAN

Last Name

BLUM

Business Name

ALAN BLUM

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

11/19/2005

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005