LYNN C VAN DYKE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003015

License Status

EXPIRED

Business

First Name

LYNN

Middle

Last Name

VAN DYKE

Business Name

LYNN C VAN DYKE

Original Issue Date

04/16/2004

Effective Date

02/17/2005

Expiration Date

04/16/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/04/2018