ANDREW DAVID BUFFENBARGER - Nursing Home Administrator License in Illinois | # 045003098

ANDREW DAVID BUFFENBARGER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003098

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

DAVID

Last Name

BUFFENBARGER

Business Name

ANDREW DAVID BUFFENBARGER

Original Issue Date

09/07/2005

Effective Date

09/07/2005

Expiration Date

09/07/2006

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

11/03/2006