RANDOLPH H COOPER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006342

License Status

INACTIVE

Business

First Name

RANDOLPH

Middle

Last Name

COOPER

Business Name

RANDOLPH H COOPER

Original Issue Date

10/07/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

09/02/2009