RANDY SCOTT BLOCK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002988

License Status

EXPIRED

Business

First Name

RANDY

Middle

SCOTT

Last Name

BLOCK

Business Name

RANDY SCOTT BLOCK

Original Issue Date

12/11/2003

Effective Date

12/27/2004

Expiration Date

12/11/2004

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/04/2018