STEPHANIE B BURGE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001498

License Status

NOT RENEWED

Business

First Name

STEPHANIE B

Last Name

BURGE

Business Name

STEPHANIE B BURGE

Original Issue Date

05/30/1987

Expiration Date

05/28/1988

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/31/2005