GERALD D BOCK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005803

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

BOCK

Business Name

GERALD D BOCK

Original Issue Date

05/25/2000

Effective Date

11/06/2017

Expiration Date

11/30/2019

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/23/2020