PAUL D VAN GORKOM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011084

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

VAN GORKOM

Business Name

PAUL D VAN GORKOM

Original Issue Date

01/29/2014

Effective Date

09/25/2017

Expiration Date

11/30/2019

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/23/2020