GLENN B BRICHACEK Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002879

License Status

CANCELLED

Business

First Name

GLENN

Middle

Last Name

BRICHACEK

Business Name

GLENN B BRICHACEK

Original Issue Date

07/01/2002

Effective Date

05/28/2004

Expiration Date

07/01/2003

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005