CARL W MOELLENKAMP Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010306

License Status

INACTIVE

Business

First Name

CARL

Middle

Last Name

MOELLENKAMP

Business Name

CARL W MOELLENKAMP

Original Issue Date

01/02/2008

Effective Date

11/18/2015

Expiration Date

11/30/2017

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/07/2017