RICHARD A KOEPKE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002120

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

KOEPKE

Business Name

RICHARD A KOEPKE

Original Issue Date

10/07/1992

Expiration Date

07/17/1993

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005