KEVIN ROBERT BERCAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002663

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

ROBERT

Last Name

BERCAW

Business Name

KEVIN ROBERT BERCAW

Original Issue Date

12/03/1999

Effective Date

01/05/2001

Expiration Date

12/01/2000

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

05/31/2005