MARY A BRANDENBURG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005145

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

BRANDENBURG

Business Name

MARY A BRANDENBURG

Original Issue Date

07/16/1996

Effective Date

10/11/2005

Expiration Date

11/30/2007

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/13/2006