ANDRE A MATLOCK - Nursing Home Administrator License in Illinois | # 044005507

ANDRE A MATLOCK

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005507

License Status

INACTIVE

Business

N

First Name

ANDRE

Middle

A

Last Name

MATLOCK

Business Name

ANDRE A MATLOCK

Original Issue Date

08/27/1998

Effective Date

06/23/2025

Expiration Date

11/30/2025

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2026