GERARD S BEAGLES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003037

License Status

NOT RENEWED

Business

First Name

GERARD

Middle

Last Name

BEAGLES

Business Name

GERARD S BEAGLES

Original Issue Date

08/05/2004

Effective Date

08/05/2004

Expiration Date

08/05/2005

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/31/2005