STEPHEN NUSSBAUM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002104

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

NUSSBAUM

Business Name

STEPHEN NUSSBAUM

Original Issue Date

07/23/1992

Expiration Date

06/12/1993

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

05/31/2005