BLAKE DELL LOPEMAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004197

License Status

EXPIRED

Business

First Name

BLAKE

Middle

DELL

Last Name

LOPEMAN

Business Name

BLAKE DELL LOPEMAN

Original Issue Date

08/27/2019

Effective Date

08/27/2019

Expiration Date

08/27/2020

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/19/2020