JAMES R CZERWIONKA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004679

License Status

INACTIVE

Business

First Name

JAMES R

Last Name

CZERWIONKA

Business Name

JAMES R CZERWIONKA

Original Issue Date

03/05/1994

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/05/2007