G ERIC CARPENTER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004421

License Status

INACTIVE

Business

First Name

Middle

ERIC

Last Name

CARPENTER

Business Name

G ERIC CARPENTER

Original Issue Date

12/28/1992

Effective Date

11/26/2003

Expiration Date

11/30/2003

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

10/11/2005