J MICHAEL BIBO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002113

License Status

NOT RENEWED

Business

First Name

J MICHAEL

Last Name

BIBO

Business Name

J MICHAEL BIBO

Original Issue Date

09/21/1979

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/23/2020