ALAN BLUM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003054

License Status

NOT RENEWED

Business

First Name

ALAN

Last Name

BLUM

Business Name

ALAN BLUM

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

11/19/2005

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

05/31/2005