Kim P Black

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

044003590

Status

Inactive

First issued

January 14, 1989

Expired

November 30, 1989

License holder

Kim P Black

Entity type

Individual

Classifications

• Licensed Nursing Home Administrator Other Health Care

Other Illinois licenses under this name

• IL
  Kim P Black

  License 045001551

  Licensed Nursing Home Administrator Temporary
  Expired

  Lake Bluff, IL

  Expired Oct 1, 1988

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