PAUL ALLEN KLOCKENGA - Nursing Home Administrator License in Florida | # 044001461

PAUL ALLEN KLOCKENGA

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001461

License Status

INACTIVE

Business

N

First Name

PAUL ALLEN

Last Name

KLOCKENGA

Business Name

PAUL ALLEN KLOCKENGA

Original Issue Date

07/20/1976

Expiration Date

11/30/1999

State

FL

Ever Disciplined

Y

LastModifiedDate

10/11/2005

Case Number

1996004783

Action

Fine

Discipline Start Date

09/30/1996

Discipline Reason

Failed to submit sufficient proof of continuing education hours during a Department audit.