MICHAEL BLISKO Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003182

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

BLISKO

Business Name

MICHAEL BLISKO

Original Issue Date

09/12/2006

Effective Date

09/12/2006

Expiration Date

09/12/2007

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

10/30/2007