RICHARD D BLACKBURN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003214

License Status

INACTIVE

Business

First Name

RICHARD D

Last Name

BLACKBURN

Business Name

RICHARD D BLACKBURN

Original Issue Date

05/07/1986

Effective Date

11/26/2001

Expiration Date

11/30/2001

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/11/2005