DEBORAH ANN BLAKE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003896

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

ANN

Last Name

BLAKE

Business Name

DEBORAH ANN BLAKE

Original Issue Date

11/24/2015

Effective Date

11/24/2015

Expiration Date

11/24/2016

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/09/2017