MARK BLACK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003306

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

BLACK

Business Name

MARK BLACK

Original Issue Date

12/16/1986

Effective Date

11/12/2013

Expiration Date

11/30/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

01/08/2016