GARTH E BROKAW - Nursing Home Administrator License in New York | # 044001205

GARTH E BROKAW

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001205

License Status

NOT RENEWED

Business

N

First Name

GARTH E

Last Name

BROKAW

Business Name

GARTH E BROKAW

Original Issue Date

01/07/1975

Effective Date

12/22/2003

Expiration Date

11/30/2005

State

NY

Ever Disciplined

N

LastModifiedDate

01/09/2006