JAN C BRENNER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004133

License Status

INACTIVE

Business

First Name

JAN C

Last Name

BRENNER

Business Name

JAN C BRENNER

Original Issue Date

06/12/1991

Effective Date

10/11/2001

Expiration Date

11/30/2001

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/11/2005