CARLA J VONDER HAAR Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002899

License Status

CANCELLED

Business

First Name

CARLA

Middle

Last Name

VONDER HAAR

Business Name

CARLA J VONDER HAAR

Original Issue Date

10/04/2002

Effective Date

05/28/2004

Expiration Date

10/04/2003

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/31/2005