CHAD D BERCK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006200

License Status

INACTIVE

Business

First Name

CHAD

Middle

Last Name

BERCK

Business Name

CHAD D BERCK

Original Issue Date

06/09/2003

Effective Date

11/22/2011

Expiration Date

11/30/2013

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/05/2013