KATHRYN MARY BROCKMILLER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000778

License Status

INACTIVE

Business

First Name

KATHRYN MARY

Last Name

BROCKMILLER

Business Name

KATHRYN MARY BROCKMILLER

Original Issue Date

03/16/1972

Expiration Date

11/30/1987

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/27/2005