STEPHEN C NYBERG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005564

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

NYBERG

Business Name

STEPHEN C NYBERG

Original Issue Date

12/09/1998

Effective Date

10/26/2011

Expiration Date

11/30/2013

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

02/19/2014