BRUCE L VACA - Nursing Home Administrator License in Illinois | # 044002928

BRUCE L VACA

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002928

License Status

NOT RENEWED

Business

N

First Name

BRUCE L

Last Name

VACA

Business Name

BRUCE L VACA

Original Issue Date

12/18/1984

Effective Date

10/16/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022