ERIC N CLARK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003506

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

CLARK

Business Name

ERIC N CLARK

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

06/30/2011

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018