KIRK BENJAMIN MONTGOMERY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001898

License Status

NOT RENEWED

Business

First Name

KIRK BENJAMIN

Last Name

MONTGOMERY

Business Name

KIRK BENJAMIN MONTGOMERY

Original Issue Date

06/22/1978

Expiration Date

11/30/1983

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005