MARIE A HARTZOG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001859

License Status

NOT RENEWED

Business

First Name

MARIE A

Last Name

HARTZOG

Business Name

MARIE A HARTZOG

Original Issue Date

03/31/1990

Expiration Date

03/30/1991

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005