PHILIP M SANDBACH Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004337

License Status

INACTIVE

Business

First Name

PHILIP M

Last Name

SANDBACH

Business Name

PHILIP M SANDBACH

Original Issue Date

06/19/1992

Effective Date

10/17/2003

Expiration Date

11/30/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005