MATTHEW S NIEUKIRK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004596

License Status

NOT RENEWED

Business

First Name

MATTHEW S

Last Name

NIEUKIRK

Business Name

MATTHEW S NIEUKIRK

Original Issue Date

11/29/1993

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/23/2020

Case Number

2012006273

Action

Fine

Discipline Start Date

04/04/2013

Discipline Reason

for failure to complete the required number of continuing education hours during the license renewal period.