Glenn R Blacklock
ExpiredIllinois license 044005176
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044005176
- Status
- Expired (Not Renewed)
- First issued
- September 12, 1996
- Expired
- November 30, 2017
- License holder
- Glenn R Blacklock
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 11/23/2015
Other Illinois licenses under this name
-
IL
ExpiredSavanna, ILExpired Sep 18, 1996
Contact
Morrison, IL 61270
Whiteside County