BERTRAM B MOSS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000948

License Status

NOT RENEWED

Business

First Name

BERTRAM B

Last Name

MOSS

Business Name

BERTRAM B MOSS

Original Issue Date

12/06/1972

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005