Mark Black
ExpiredIllinois license 045001435
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045001435
- Status
- Expired (Not Renewed)
- First issued
- September 19, 1986
- Expired
- August 14, 1987
- License holder
- Mark Black
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
Other Illinois licenses under this name
-
IL
ExpiredDanville, ILExpired Nov 30, 2015
Contact
Danville, IL 61832
Vermilion County