MELVIN WALTER SIEGEL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000829

License Status

NOT RENEWED

Business

First Name

MELVIN

Middle

WALTER

Last Name

SIEGEL

Business Name

MELVIN WALTER SIEGEL

Original Issue Date

06/24/1972

Effective Date

12/09/2015

Expiration Date

11/30/2017

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

02/01/2019

Case Number

2016005020

Action

Suspension

Discipline Start Date

08/26/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes.