MATTHEW S NIEUKIRK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002059

License Status

NOT RENEWED

Business

First Name

MATTHEW S

Last Name

NIEUKIRK

Business Name

MATTHEW S NIEUKIRK

Original Issue Date

01/14/1992

Expiration Date

01/13/1993

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005