EDWARD GRANT BULLOCK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001713

License Status

NOT RENEWED

Business

First Name

EDWARD GRANT

Last Name

BULLOCK

Business Name

EDWARD GRANT BULLOCK

Original Issue Date

08/24/1977

Effective Date

09/08/2009

Expiration Date

11/30/2011

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

01/05/2012