KIMBERLI E BACON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003993

License Status

INACTIVE

Business

First Name

KIMBERLI E

Last Name

BACON

Business Name

KIMBERLI E BACON

Original Issue Date

09/07/1990

Effective Date

10/11/2001

Expiration Date

11/30/2001

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/11/2005