EITAN U DICKMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006058

License Status

NOT RENEWED

Business

First Name

EITAN

Middle

Last Name

DICKMAN

Business Name

EITAN U DICKMAN

Original Issue Date

05/07/2002

Effective Date

11/17/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2012