ELIJAH DAVID HEYBOER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004326

License Status

EXPIRED

Business

First Name

ELIJAH

Middle

DAVID

Last Name

HEYBOER

Business Name

ELIJAH DAVID HEYBOER

Original Issue Date

01/21/2021

Effective Date

01/21/2021

Expiration Date

01/21/2022

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022