DAVID BARTHOLOMEW CONKLIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000298

License Status

INACTIVE

Business

First Name

DAVID

Middle

BARTHOLOMEW

Last Name

CONKLIN

Business Name

DAVID BARTHOLOMEW CONKLIN

Original Issue Date

09/25/2009

Effective Date

09/25/2009

Expiration Date

11/30/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2011