JEFFREY F KOZUSZEK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001868

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

KOZUSZEK

Business Name

JEFFREY F KOZUSZEK

Original Issue Date

04/21/1990

Expiration Date

01/01/1998

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

05/31/2005