MARIE A HARTZOG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004071

License Status

NOT RENEWED

Business

First Name

MARIE A

Last Name

HARTZOG

Business Name

MARIE A HARTZOG

Original Issue Date

03/05/1991

Effective Date

11/30/2009

Expiration Date

11/30/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/05/2012