RALPH B BERKLEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005911

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

BERKLEY

Business Name

RALPH B BERKLEY

Original Issue Date

02/20/2001

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/11/2005