CHARLES J STUMPF Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000912

License Status

NOT RENEWED

Business

First Name

CHARLES J

Last Name

STUMPF

Business Name

CHARLES J STUMPF

Original Issue Date

09/19/1972

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2005