ANDRE A MATLOCK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005507

License Status

INACTIVE

Business

First Name

ANDRE

Middle

Last Name

MATLOCK

Business Name

ANDRE A MATLOCK

Original Issue Date

08/27/1998

Effective Date

06/23/2025

Expiration Date

11/30/2025

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2026