Kim P Black

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

045001551

Status

Expired (Not Renewed)

First issued

October 19, 1987

Expired

October 1, 1988

License holder

Kim P Black

Entity type

Individual

Classifications

• Licensed Nursing Home Administrator Temporary Other Health Care

Other Illinois licenses under this name

• IL
  Kim P Black

  License 044003590

  Licensed Nursing Home Administrator
  Inactive

  Lake Bluff, IL

  Expired Nov 30, 1989

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