RICHARD WARREN BLACK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000390

License Status

NOT RENEWED

Business

First Name

RICHARD WARREN

Last Name

BLACK

Business Name

RICHARD WARREN BLACK

Expiration Date

11/30/1991

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/27/2005