PHYLLIS Z ROFFMANN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001264

License Status

INACTIVE

Business

First Name

PHYLLIS Z

Last Name

ROFFMANN

Business Name

PHYLLIS Z ROFFMANN

Original Issue Date

03/07/1975

Expiration Date

11/30/1995

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/27/2005