PAUL D VAN GORKOM - Nursing Home Administrator License in Illinois | # 044011084

PAUL D VAN GORKOM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011084

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

D

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020