FREDERICK LITTLE BERNSTEIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010471

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

LITTLE

Last Name

BERNSTEIN

Business Name

FREDERICK LITTLE BERNSTEIN

Original Issue Date

05/05/2009

Effective Date

11/13/2013

Expiration Date

11/30/2015

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

12/15/2020