KATHERINE BROCKMANN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003831

License Status

NOT RENEWED

Business

First Name

KATHERINE

Last Name

BROCKMANN

Business Name

KATHERINE BROCKMANN

Original Issue Date

12/22/1989

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/11/2005