SUSAN ENGELHARDT Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005323

License Status

INACTIVE

Business

First Name

SUSAN

Last Name

ENGELHARDT

Business Name

SUSAN ENGELHARDT

BusinessDBA

FRASSATO SUSAN D

Original Issue Date

08/18/1997

Effective Date

11/14/2003

Expiration Date

11/30/2005

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

10/11/2005