KIMBERLI E BACON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001869

License Status

NOT RENEWED

Business

First Name

KIMBERLI E

Last Name

BACON

Business Name

KIMBERLI E BACON

Original Issue Date

04/21/1990

Expiration Date

04/20/1991

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/31/2005