ERICA A KUNTZ Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006277

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

KUNTZ

Business Name

ERICA A KUNTZ

Original Issue Date

02/19/2004

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

PEORIA

State

Zip

61614

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/04/2008