MARK A SEIBOLD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001585

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

SEIBOLD

Business Name

MARK A SEIBOLD

Original Issue Date

01/26/1988

Expiration Date

01/26/1989

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

05/31/2005