DOUGLAS S FENNEMA - Nursing Home Administrator License in Florida | # 044011213

DOUGLAS S FENNEMA

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011213

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

S

Last Name

FENNEMA

Business Name

DOUGLAS S FENNEMA

Original Issue Date

02/19/2015

Effective Date

11/09/2017

Expiration Date

11/30/2019

State

FL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/23/2020