PHILLIP K KAUFMANN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005976

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

KAUFMANN

Business Name

PHILLIP K KAUFMANN

Original Issue Date

08/24/2001

Effective Date

09/16/2019

Expiration Date

02/28/2022

City

TISKILWA

State

Zip

61368

County

BUREAU

Ever Disciplined

LastModifiedDate

07/27/2022