ERICA A KUNTZ Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002884

License Status

EXPIRED

Business

First Name

ERICA

Middle

Last Name

KUNTZ

Business Name

ERICA A KUNTZ

Original Issue Date

07/26/2002

Effective Date

09/23/2004

Expiration Date

07/26/2004

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/04/2018