MARTIN J BUKACEK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003720

License Status

NOT RENEWED

Business

First Name

MARTIN J

Last Name

BUKACEK

Business Name

MARTIN J BUKACEK

Original Issue Date

08/11/1989

Effective Date

11/29/2011

Expiration Date

11/30/2013

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2014