CHARLES T COOK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001487

License Status

NOT RENEWED

Business

First Name

CHARLES T

Last Name

COOK

Business Name

CHARLES T COOK

Original Issue Date

04/22/1987

Expiration Date

04/16/1988

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005