NANCY A KOLTZENBURG Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005812

License Status

INACTIVE

Business

First Name

NANCY

Middle

Last Name

KOLTZENBURG

Business Name

NANCY A KOLTZENBURG

Original Issue Date

06/05/2000

Effective Date

11/15/2001

Expiration Date

11/30/2001

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/11/2005