EITAN U DICKMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002695

License Status

NOT RENEWED

Business

First Name

EITAN

Middle

Last Name

DICKMAN

Business Name

EITAN U DICKMAN

Original Issue Date

05/23/2000

Effective Date

06/13/2002

Expiration Date

05/23/2002

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2005