BENYAMIN MOALEM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011355

License Status

NOT RENEWED

Business

First Name

BENYAMIN

Last Name

MOALEM

Business Name

BENYAMIN MOALEM

Original Issue Date

05/11/2016

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020