MARTIN J BUCKLEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006299

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

BUCKLEY

Business Name

MARTIN J BUCKLEY

Original Issue Date

05/25/2004

Effective Date

11/23/2015

Expiration Date

11/30/2017

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

01/04/2018