Blake Dell Lopeman
ExpiredIllinois license 045004197
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004197
- Status
- Expired
- First issued
- August 27, 2019
- Expired
- August 27, 2020
- License holder
- Blake Dell Lopeman
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 08/27/2019
Contact
East Peoria, IL 61611
Tazewell County