KIM E CLARK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011463

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

CLARK

Business Name

KIM E CLARK

Original Issue Date

05/08/2017

Effective Date

03/07/2024

Expiration Date

11/30/2025

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2026