J PETER MACKSAM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001861

License Status

NOT RENEWED

Business

First Name

J PETER

Last Name

MACKSAM

Business Name

J PETER MACKSAM

Original Issue Date

02/28/1978

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/27/2005