GERALDINE P BRUCKMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002131

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

Last Name

BRUCKMAN

Business Name

GERALDINE P BRUCKMAN

Original Issue Date

11/24/1992

Expiration Date

11/01/1993

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/31/2005